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� <br />�� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) �UILDING PERMIT FEE <br />IN PLAN CHEGK FEE <br />(2) PLUMBING <br />(3� MECHANICAL <br />(A) STATE SURCHARGES <br />(A) BUILDING GODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SEFVICE TO �E PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOP. __ INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOiAGE_ <br />N, S. E. W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAI ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEhR TRUNK <br />IATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FFE <br />S <br />S <br />S <br />3/D <br />.5`2�4/, <br />l.l'-f <br />5 <br />E <br />s _ .30 <br />