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� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SUHCHARGES <br />(A) BUILDING CODE <br />(B) ENERGV CODE <br />15) DRIVEWAY PERMIT <br />S <br />5 - <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 5 -�- �S -� <br />(A) TO BE DETERMINED BY BLDG. WSPECTOR �NC' �, S� /Da-%1 <br />(B� EXISL WATER SEFVICE. APPLICATION NO. _ q � J� <br />(7) STATUS OF SEWER CHARG[S: � �� <br />BOND DISTqICT FOOTAGE � <br />N. 5. E. W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAI CONNECTION CHARGES <br />SEWER PERMIT FEE <br />S <br />5 <br />S <br />B <br />