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.,,� _ <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE g <br /> (A) PV�N C'HECK FEE <br /> (2) PL�!.SBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE _ <br /> (5) DRIVEWAY PERMIT _ <br /> , $ <br /> (6) WATER SERVICE TO 9E PAID PRIOR TO BUI�DING PERMIT IS$UANCE $ _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR f INCH <br /> % <br /> (B) EXIST. WATER ScRVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, F, W <br /> i'• <br /> t �, <br /> i <br /> SYST.EMS DEVELOPMENT <br /> i <br /> WATER <br /> �% SEWER . <br /> /, <br /> TOTAL ORD. FEE <br /> ' SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> � LATERAL <br /> / TOTAL CONNECTION CHARGFS $ \ <br /> / <br /> SEWER PERMIT FEE $ <br />