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ADDRESS
<br />(1) BUILOING PERMIT FEE
<br />(A) PLAN CHECK FEE
<br />(2) PLUIviBING
<br />(3) MEGHANICAL
<br />(4) STATE SURCHARGES
<br />(A) BUILDING CODE
<br />(8) ENERGY CODE
<br />(5) DRIVEWAY PERMIT
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<br />FOR OFFICE USE ONLY
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<br />(6) WATER SERVICE TO BE PAID PRIOR TO BUI=DING PER?AIT ISSUANCE
<br />(A) TO BE DETERMINED BY BLDG. INSPECTOR _ INCH
<br />(B) EXIST. WATER SERVICE. APPLICA"i ION 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 />SE�NER PERMIT FEE
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