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f'` '� <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> . <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B; ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> Dv <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM��ISSUANCE $ ���U � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR � INCH Ov,���r,l_ �/ <br /> rriE�c <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. �vh„�o� aI� <br /> (7) STATUS OF SEWER CHARGES: (�"` <br /> IiOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> �IL ����/ I✓�'I � SYSTEMS DEVELOPMENT <br /> `� WATER <br /> /a l�lo C� SEWER �a �• �d <br /> �;� X � ,���5�' TOTALORD. FEE �O�IO , �O <br /> SEWER C�JNNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL � <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S �0 <br /> . �: <br />