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FOR OF�ICE USE ONLY <br />� <br />ADDRESS ___ <br />{1) BUIL�ING PERMIT FEF <br />(A) PLAN CHECK FGE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) ST,�TE SURCHARGES <br />(A) BUi!.DING CODE <br />(B) 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 />(7j SlA"i'US OF SEWER CHARGES: <br />BGNC.__ DISTRICT FOOTAGE <br />N, S, E, W <br />S`.'STEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LAIERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />��n . � <br />/l>/3 <br />/�D��i <br />$ � 3d <br />$ <br />$ 7U <br />