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FOR OFFICE USE ONLY <br /> ADDRESS_ <br /> (1) BUILDING PERMIT FEE � <br /> (A) PLAN CHGCK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURGHARGES <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 $ �� , '/• �270 la� <br /> (Aj TO BE DETERMINED BY BLDG. INSPECTOR INCH Le� 2�I�G/ 1�� <br /> (8) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER � i�j <br /> SEWER L(�j/ � <br /> • � TOTAL ORD. FEE _ L(J /�j <br /> ? <br /> , <br /> � SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ _� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ � <br /> SEWER PERMIT FEc $ _ ��� <br /> //.5�� Gr,r.,lun �� i0,7n ;2337 <br /> � <br /> 20/3 <br /> 3�2 <br /> 232:� � -5�970 //G�U/7 <br /> �'�"� �aa, @ i�,in ;�.n�� <br />