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� <br />FOR OFFICE USE �ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(f\) BUILDING CODE <br />(ti) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE 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, 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 />SEWER PERMIT FEE <br />$ <br />$ /OS <br />, ,Z <br />� <br />�� � <br />_/2 9(�_ <br />$ ,330 <br />$ �Q <br />. <br />