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r` <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 />(41 STATE SURCHAF1GES <br />(A) BUILDING CQDE <br />(B) ENERGY CODE <br />(5) ORIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUA�JCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR. INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT_ FOOTAGE <br />N, S, E. W <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 PF.RMIT FEE <br />$ <br />g /D."� <br />, <br />�q/.v1 c� oCde srn f �-�-'° <br />.J r i i c,i <br />_ � ns� �.r� /�''� �� . <br />��a^� d�J� Eo�P�v� <br />�/v' �/ <br />-/7 <br />ia 9� <br />$ <br />$ _ <br />$ 7D <br />