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� -. _ <br />� FOR OFFICE USE ONLY <br />' <br /> ADDRESS <br />, (1) BUILDING PERMIT FEE g <br /> (A) PLAN CHECK FEE I <br /> (2) PLUMBING � <br /> (3) MECHANICAL _ <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br />,' (5) DRIVEWAY PERMIT � <br /> i: $ <br /> i� <br /> I <br /> (6) WATER SERVICE TO BE nAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br /> (A) TO BE DETERMINE� BY BLDG. INSPECTOR •' 'y INCH <br /> (B) EXIST. _WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: �S <br /> BOND _DISTRICT � FOO`GE <br /> N, S, E, W <br /> ; <br /> SYSTEMS DE�ELOPMENT <br /> WATER 1'� <br /> t <br /> SEWER �1 <br /> TOTAL ORD. FEE <br /> I <br /> SEWER CONNECTIQN CHARGES <br /> YEAR TRUNK $ <br /> IATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> � <br /> SE�ER PERMIT FEE $ <br /> I '\ p� <br /> � � ° ���� <br /> ;, � ; .�i <br /> � � <br /> ; <br /> � <br /> , <br />