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� � <br /> FOR OFFICE USE ONLY <br /> AODRESS <br /> (t) BUILDINGPERMITFEE E <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STA7E SUflCHARGES <br /> (A)BUILDING CODE <br /> (B) ENERGV CODE <br /> (5) DRIVEWAY PERMIT <br /> s `?�,�/. 07 <br /> N / <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S a l�-n�t — /'�� <br /> (A) TO 0E DETERMINED BY BLDG.INSPECTOH INCH � " �� — /�O SIa�I <br /> (B) EXIST. WATER SERVICE.APPUCATION NO. ��� �� �J <br /> (7) STATUS OF SEYVER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N. 5. E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER �'/��^�•�� <br /> SEWER '1��-�•77 <br /> TOTAL ORD.FEE �-��•�� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK E <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S 70� � <br /> ,,�1� ///*z� �o� a�_ <br /> � <br /> " a5 •���.a9 <br />