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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 /> $ i3��, sv <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUII_DING PE�I ISSUANCE $ l�� � <br /> (A)' TO BE DETERMINED BY BLDG. INSPECTOR INCH � j��� �r.L ���e, , <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. / / \ <br /> � 0�.� �^.t.tli J <br /> (7) STATUS OF SEWER CHARGES: Pv� Ij�ti�� <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER �n� <br /> SEWER U�� � 1 <br /> TOTAL ORD. FEE ��v <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 'l4 <br /> � - z/��.v U <br /> C: <br /> tr <br /> -�"} <br /> ''. i <br /> ;� <br /> . ;'�'. <br /> . . . . - - .'r� <br />