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I <br /> FOR OFFICE USE O�lLY <br /> ADDRESS � <br /> (i) BUILDING PERMIT FEE $ _ _ <br /> (A) PLAN CHECK FEE ' <br /> (2) PLUMBINO ! , __ __ <br /> (3) MECHANICAL + _ <br /> (4) STATE SURCHARGES • __ <br /> , ; <br /> (A) BUILDING CODE � <br /> (B) ENERGY CODE _ _ _ <br /> (5) DRIVEWAY PERMIT ? ; _ <br /> • a � <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT IS�UANCE S �' ___ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR_�_. .._ INCH !SG• ��5/ <br /> (B) EXIST. WATER SEflVICE.APPLICATICIN NO, _ /Z���9`�l <br /> (7) STATUS OF SEWER CHARGES: � <br /> BOND DISTRICT _____FOOTAGE <br /> N, S, E, W <br /> SYSTEMS �EVf:LOPMENT <br /> WATER �'/ _ <br /> SEWEH ��I�i' <br /> TOTAL ORD. FEE ��_ ___ <br /> SEWER CONNEC710N CHAHGES <br /> YEAR ___.___THUNK $ .33G � ____ <br /> LATEFAL ____ <br /> TOTAL CONNEC1lON CHARGES $ _ �3D <br /> SEWER PERMIT F[E $ ' �� - _ __ <br />