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� <br />FOF; OFFICE USE ONLY <br />a �- <br />ADD9ESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) Ff.UMBING <br />(3) MECHANICAL <br />(4) STATE SURCNARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />E� <br />$ <br />(8) Wt1TER SERVICE TO BE PAID PRIOR TO BUILDING PCRMIT 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 />SEW�R CONNECTION CHARGES <br />YEAR TRUNK $ _ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE $ <br />