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� <br /> FOR 1?FFICE USE ONLY <br /> ADDRES;. <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SUSCHARGES <br /> (A) BUILDiNG CODE <br /> (B) ENERGY CODE `' <br /> (5) DRIVEWNY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMI�T ISSUANCE $ /O `i <br /> (A) TQ BE DETERNiINED BY BLDG. INSPECTOR �� _INCH <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 d-,J <br /> WATER �00'� � <br /> SEWER _ �,� � � � <br /> TOTqL ORD. FEE (pD/� � <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> �� <br /> SEWER PERMIT FEE g �� / <br /> � � 22X Zz <br /> /yx fo/y 77/ <br /> Glm�� q93 ,�G2� . . , � <br /> 0 <br /> �ur� /��'� ��/23 Z _ . - . <br /> %�`-G 2� <br />