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� � <br /> FOR OFFICE IUSE 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 CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERNIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOP TO BUILDING PE�IT ISSUANCE $ _ c - .t � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR � INCH p <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. S 0. � lJ��� <br /> (7) STATUS OF SEWER CHARGES: /D/�/`� <br /> BOND DISTRICT FOOTAGE <br /> N, ;,, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATEFI ___ <br /> SEWER _ <br /> � TOTAL ORD. FEE ��� '' ��� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES a <br /> �� <br /> SEWER PERMIT FEE $ �I� � <br /> . . •- <br />