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� <br />� <br />FOR OFFIGE USE ONLY <br />ADDHESS <br />(1) BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PlUM81NG <br />(3) MECHANICAI <br />(M1) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAV PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERIdIT ISSUANCE <br />(A) TO BE DETERMINCD BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE. APPLICATION Np. _ <br />(7) STATUS OF SEWEF7 CHARGES: <br />BOMD 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 />LATEPAL <br />TOTAL CONNECTION CHARGES <br />$ <br />$ <br />$ /.��i.?��7 _ <br />� '' 75v � v 9�i ; <br />- � �' 7Cv S� i4��y <br />i' %`� <br />�i .�� <br />�03�j <br />$ <br />SEWEfl PERMIT FEE $ <br />