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FOR OFFICE USE ONLY <br /> ADDRESS — <br /> (t) BUILDING PERMIT FEE $ — <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STNTE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ — - <br /> (A) TOBEDETERMINEDBYBLDG. INSPECTOR _INCH UJi,�,,� ���,.��i�_.t_ <br /> (B) EXIST.._ WATER SERVICE.APPLICATION N0. �,J,-r;�/ <br /> / <br /> (7) STATJS i:F SEWER CHARGES: C�dJ �2_���� FJ��. <br /> BQND_ DISTRICT FOOTAGE_ ��u, �,� <br /> N, 3. E. W �,�Eti. �I��= <br /> > <br /> ' ;n��e�- �.�S�R� L-��� <br /> SYSTEMS DEVELOPMENT <br /> WATER -�� <br /> II�1� '�„c=�. �ryi.�_.�,- SEWER I <br /> TOTAL ORD. FEE II <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �U <br /> " '�l <br /> — <br />