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� <br />FOR OFFICE USE ONLY <br />�DDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2} PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURC;iARGES <br />(A) BUILDING CODE <br />(8) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUIIDING 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 DEVELOFMENT <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 />� <br />� ' j� <br />� <br />. • /D /.3 <br />//p/3 <br />$ <br />$ �n <br />