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/ \ <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 /> (H) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ — "___'�_ <br /> 3 �/o i�v� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � f5' <br /> (A) TO BE DETcRMINED BY BLDG. INSPECTOR INCH /'S��'�' ���� <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. "T ' `���9 <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 /;Ilo <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL � <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ - `// _ <br />