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�. <br />a <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDINO CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(8) WATER SERVICE TO BE PAID PRIOR TO BUILDIN(i PERM�T ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(� STATUS OF SEWER CHARGES: <br />gpNp DISTRICT FOOTAGE N, S, E, w <br />� <br />..� <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />Ea <br />a l��s ' <br />$ <br />a <br />3L�� <br />/v <br />9 �a <br />/ <br />� <br />