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��R C?FFICE USE ONLlf <br />ACDRESS <br />(1) BUILDING PERMIT FFE <br />(A) PLAN CHECK FEE <br />(2) PLUMBlNG <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICF TO BE PAID PRIOR TO OUILDING PERMIT ISSUANC[ <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR '���i INCH <br />(B) EXIST. WASER SERVICE. Af'PUCATEON NO. _ <br />(7) STATUS OF SEWER CHARGES: <br />BOND_ _DISI'RICT __ _FOOTAGE _ <br />N, S. E, W <br />SYSTEMS DEVELOPp.4ENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATEHAL <br />TOTAL CONNECTION CHARGES <br />$ <br />$ <br />/� � <br />$ so �Laa� �as <br />�� .���%`�/ <br />,��� � <br />� <br />$ <br />SEWER PEIaMIT FEE $ <br />