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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUI�DING PERMIT FEE g <br /> (A) PLA�I CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> � 7�/ ,d;7 <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDWG PERMIT ISSUANCE $ �Y I' -N .t r <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH / /1�l � <br /> � O. �d � <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWEA CHARGES: ���� �� , <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER �:^'-� <br /> SEWER (r/D <br /> TOTAL ORD. FEE �J7�L <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUtJK $ % � � <br /> LATEFAL <br /> TOTAL CONNECTION CHP,RGES $ _ <br /> SEWER PERMIT FEE $ 7L� _ <br /> 1 <br />