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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERPAIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICFlL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGI' 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. APPI_ICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTFICT FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WA1�ER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER COPJNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />��� ' <br />,��1� <br />L/,� /_ 3 ___ <br />$ �� <br />$ <br />$ �� <br />