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FOR OFiFICE USE OWLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLF,N CHECK FEE � <br /> (2) PLUMBING <br /> (3) MECkIANICAL <br /> (4) S�-ATE SURCHARGES <br /> (A) BUILD�NG CODE <br /> (B) ENERGY CODE j <br /> (5) 7RIVEWAY PERMIT <br /> $ . <br /> (6) WHTER SERVICE TO BE PAID PRIOR TO BUILDI�G PERMIT IS$UANCE $ . <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR 1' _INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: � <br /> BOND DISTRICT FOO�AGE <br /> N, S, E, W <br /> I <br /> SYSTEMS DEVELOPMENT <br /> WATER _ <br /> SEWER _ <br /> TOTAL ORp. FEE _ <br /> i � <br /> SEWER CONNEOTION CHARGES <br /> YEAR +� TR4NK $ <br /> LATERAL p _ <br /> TOTAL CONNECTION CHARGES $ <br /> 'I <br /> SEWER PERMIT FEE , $ <br /> i <br /> � <br /> 1 <br /> . ; <br />