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� <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) BUILDING CODE <br />(B) ENEFGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDI� <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR <br />(B) EXIST. _ WATER SERVICE. APPLI <br />(7) STATUS OF SEWER CHARGES� <br />BOND DlSTRICT <br />$ <br />�IT ISSUANCE $ <br />_ INCH <br />NO. <br />E <br />N, 5, E, W <br />WATER \ <br />SEWER <br />TOTAL ORD. <br />CONNECTIGN <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />� <br />$ <br />$ <br />• <br />