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FOR OFFICE USE OWLY <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) ENEHGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _,_ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (� STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE_ <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTALORD. FEE <br /> SEWEH CONNECTION CHARGES <br /> YEAR TRUNK g <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ <br /> 5�2 <br /> ���v <br />