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FOR OFFI�E USE ONLY <br /> ADDRESS — <br /> � <br /> (1� SUILDING PERNIIT FEE � � $ —_ %� <br /> i <br /> �.A) PLAN CHECK FEE � <br /> (2) PLUh1BiNG _ <br /> (3) MECHANICAL � <br /> , <br /> (4) STATE SURCHARGES / <br /> !A) BUILDING GODE / — <br /> (B) cNERGY CODF / <br /> (5) DRIVEWAY PERMIT � , / _ <br /> �\ / $ _ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PEEiMIT ISSUANCE $ <br /> �. <br /> (A) TO BE DETERMINED 8Y BLDG. INSPECTGR �' INCH <br /> i <br /> (B) EXIST._ WATER SERVICE.AP CICATION NO: _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT ' FOOTAGE <br /> N. S, E, W <br /> SYSTEMS DEVELOPMENT <br /> ' WATER <br /> SEWER <br /> TOTAL ORD. FEE __ <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ __ <br /> SEWER PERMIT FEE $ <br />