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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 COOE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> 5 <br /> (6) WATEiI SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br />, (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br />� BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> I <br /> WATER <br /> i SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> I LATERAL <br />� TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE $ <br /> i <br /> f <br />� <br />; .�G� � /� � <br />� <br />,� <br />� <br /> l <br />'� � <br />� � <br />