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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) 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 /> $ <br /> � d <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ .� 7h 0 cl — <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR INCH <br /> t, EXIST. WATER SEHVICE.APPLICATION NO. �— <br /> (7) S-i..''�S OF SEWER CHARGES: <br /> BOND_ DISTRICT FOOTAGE N. s, e, w <br /> SYSTEMSD��iLOPMENT <br /> WATER IODD <br /> SEWER /D i 3 <br /> TOTAL ORD.FEE � � � 3 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> i.ATERAL <br /> TOTAL CONNECTION CHARGES 5 <br /> SEWER PERMIT FEE 5 70 <br /> �/G �2� <br /> ,��9y <br /> �- <br />