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� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(A) STATE SURCHARGES <br />(A) BUIIDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERV�CE TO BE PAID PRIOR TO BUILDING PERMIT �SSUANCE <br />(A) TO BE DETERM�NED BY BLDG. INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE. APPLICATION N0. <br />(7) STATUS OF SEWER CHARGES: � <br />BOND DISTRICT FOOTAGE <br />N, 9, E, W <br />J��� �� ���� <br />I <br />SYST[MS 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 />$ <br />$ <br />$ %SC7 <br />�'os-� L�--� <br />/O /SCo <br />�a. S9 <br />9sa. � � <br />/�/,yS �S <br />$ //C70 , o J <br />/3; 7. %O <br />$ ��// 7, _S�� <br />5 /v <br />