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� <br />� � � <br />FOR OFFlICE USE �OI�LY <br />ADDRESS _ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHFCK FEE <br />(2) PLUMBING <br />(3) MECHAPIICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERG'f CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO 8E PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(Bj EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S. E, W <br />SYSTEMS DEVELOPMEN7 <br />WATER <br />SEWER <br />TOTAL URD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LAT[RAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />$ SU d5��� <br />,-i.3 - y3 <br />O� <br />/ 3 <br />. � <br />$ - <br />$ <br />