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� <br />r� <br />� <br />FOR OFFICE USE ONLV <br />AUDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PIAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANII'AL <br />(4) STATE SURCHARGES <br />(A) �UILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />8- <br />S <br />(6) WATER SEP.VICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S� InS� �'��j <br />(A) TO BE DETERMINED BY BLDG. INSPECTOH INCH �;} „�(1'r <br />(B) EXIST. _WATER SEHVICE. APPLICATION NO. /`}j(Sk�i <br />l <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE N, 5. E. W <br />SVSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />���� � �Y� <br />�ODO <br />lD/3 <br />�lO��i <br />S � <br />E <br />S <br />