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FOR OFFICE USE OPLLY <br /> ADDRESS <br /> (1) CiUILDINGPERMITFEE 3 <br /> (A) PLAN CHECK FEE � <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (�) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ — �.�� "�� <br /> (6) WATER SEsiVICE TO BE PAID PRIOR TO BUILDING PERM,T ISSUANCE $ �`��� / <br /> (A) TO BE DE'fEfiMINED BY BLDG. INSPECTOR J�/ 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 ���iLo <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL _ <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER i'ERMIT FEE $ 7� <br />