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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ ��d� �h <br /> (A) PLAN CHECK FEE �a� <br /> (2) PLUMBING x' � <br /> (3) MECHANICA!' ��°� <br /> (4) STATE SURCHARGES � "J <br /> (A) BUILDING CODE � <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT � O _2U <br /> g `7�v �r� � x <br /> // <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ n <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH S Q �rSf��7', <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT _FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER ��2" <br /> SEWER ��Q <br /> TOTAL ORD. FEE �3�a <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �Q �v <br />