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_ �. <br /> , <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE g <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 /> (6) WATER SERVICE TO BE PAID PRiOR TO BUILDING PERMIT ISSUANCE $ 3 /' �D' d 7'�Z ,q5 <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH C'���S �� � <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 <br /> WATER Z <br /> SEWER <br /> TOTALORD. FEE �Z�ILD <br /> SEWER CONNECTION (:HARGES <br /> YEAR TRUNK $ <br /> LATEflAL _ <br /> TOTAL CONNECTION CHARGES $ <br /> ' SEWER PERMIT FEE $ ��/ <br />