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_ ,..., <br /> . FdR OFFICE USE ONLY <br /> ,.. ,,. : � <br /> . . _ , . �.�. �.. . .. , <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ - <br /> (A) pLAN CNECK,EEE <br /> .,1.- . <br /> (2) PLUMBING <br /> (8) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) FUILDING CODE , <br /> (B) ENERGY CODE , <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ �36 <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR__ INCH <br /> (B) EXIRT. _WATER SERVICE.APPLICATION NO. _ <br /> (7) STATUS OF SEWER CHARGES: . , <br /> BOND __DISTRICT FOOTAGE <br /> ., N� S� E. W . . . . <br /> . .'.. . . . . . - . . . . � .�_.:' . <br /> . . SYST,EMS DEVELOPMENT <br /> � N/ATER p <br /> � 76� <br /> . . SEWER /� �O 3 <br /> TOTAL ORD. FEE ��� <br /> SEWER CONNECTION CHARGES <br /> YEAR ' TRUNK $ <br /> LATERAL . . <br /> TOTAL CONNECTION CHAkGES $ __ <br /> SEWER PERMIT FEE $ -��� <br /> ,, <br /> �2 �Z �5���1 � l��' � /���s/� <br /> 238 � �� � l�� � ��/� <br />