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� <br /> FOR OFFICE USE ONLY <br /> ADDRESS_ <br /> (7) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE — <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ �5'i�. '�'d <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERR"i f ISSUANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH . <br /> (B) EXIST. WATER SERVICE.APPIICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> E30ND DISTRICT FOOTAG� N, S, E, W <br /> /1 �� �r ��� 5� ���� SYSTEMS DEVELOPMENT <br /> (/ts -t� a Q/, a� <br /> WATER '/ <br /> -�/IO/ SEWER 7 �II. ��2. <br /> lyss //G/ p,� . <br /> �� � TOTAL ORD. FEE 7d � 00 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ ',� � � <br /> C-l��r-t.�t, a-L�� `7c� <br /> a-fpC.�G ,vCc. '�n fc � , <br /> / ' <br />