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FOR QFFICE USE ONLY <br />ADDR[SS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) DUILDING COD[ <br />(B) ENERGY CJDE <br />(5) DRIVEWAV PERMIT <br />$ <br />5 <br />(G) WATGR SERVICE TO BE PAID PRIOR TO OUIiDING PERMIT ISSUANCE 5 <br />(A) TO BE DETERMIN[D BY OLDG. INSPECTOR INCH <br />(B) EXISL WATEF SEFVICE. APPLICATIOIJ NO. . <br />p) STATUS OF SEWER CHARG[S: <br />BOND DISTRICT _FOOTAGE <br />N. �. E. 4'J <br />SYSTEMS DEVELOPMENT <br />WATEP <br />S[WER <br />TOTAL ORD. FL=6 <br />S[WER CONNECTION CHARGES <br />YEAR_ TRUNK $ <br />LATERAL <br />TOTAL CON�ECTION CHARG[S 5 <br />SEWER P[RMIT FE[ 5 <br />