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0 <br />,-. <br />FOR OFFICE USE ORlLY <br />ADDRESS <br />(1) BUILDING PERM;T FEE <br />(A) PLAN CHECK FE[ <br />(2) PLUMBING <br />(3) MECHANICAI_ <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) FNERGY CODE <br />(5) DRIVEWAY PERP.AIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR a—/ n INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S. E, W <br />SYSTEMS DEVELOPMENT <br />NiATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRIiNK <br />i.ATERAL <br />TOTAL CONNECTION CHARGES <br />��`'JER PERMIT FEE <br />A z <br />$ <br />S <br />g /"o� J-L�- �-3 <br />S' o ���R � �'S�a o <br />- �ti�� <br />$ f0 <br />0 <br />