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� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILCING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />1 <br />(6) WATER SERVICE TO 8E PAID PRIOR TO BUILDlNG PERMIT ISSUANCE <br />(A) TO BE DETEHMINED BY BLDG. INSPECT7R, INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT, <br />/ <br />/ <br />FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVEIOPMENT <br />WATER <br />SEWER <br />TOTAL ORD.' FEE <br />SEWER CONNECTION�CHARGES <br />YEAR ��TRUNK <br />,\ <br />LATERAL ` <br />70TAL CONNECTION CHAaGES <br />\ <br />SEWER PERMIT FEE �� <br />\ <br />\� <br />$ <br />$ <br />$ <br />$ <br />$ <br />