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� � <br /> FOR OFFICE USE ONLY <br /> ADDFESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FE[ <br /> �2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> S <br /> (6) WATER SEfiVICE?O BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N. 5. E, W <br /> SYSTEMSDEVEIOPMENT <br /> WATER <br /> SEWER <br /> TOTA�ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PFRMIT FEE S . . <br /> �a�� <br /> �' xs, <br /> �h��Y, <br /> ��.^� <br /> au <br /> �' x� � � <br /> �� r -:,•���� <br /> �� i���� �.� . <br /> i #�i1 ����{T,„„'' <br /> ,� a yk <br /> .F�� `+ �,,�. <br /> , 5t i �` + r�'g�:-*+;�' <br /> �; , �+x <br /> - '_�",,ka, <br /> -.�1q7_ <br /> �':�e x � �: ` <br /> , x � <br /> .a;n t ,'r�,�. <br /> :'ii x ' �'*�r�" <br /> �=" r.a. <br /> �Wq.�% N,.:;.°ma <br />