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FOR OFFICE USE ONLY' <br />AUDRESS <br />(1) BUILDeNG PERMIT FEE <br />iA) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANIC:AL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY 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 />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, VJ <br />SYSTEMS DEVELOP�ytEPll' <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 />. , ..' ' ��Z•�_ ._ <br />01 f <br />/ � 9l� <br />$ <br />$ �D <br />