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FOR OFFICE USE ONLY <br /> ADDRESS $ �-- <br /> (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE —_ <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING COOE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT $ <br /> (6) WATER SERVICE TO BE PAID FRIOR TO BUILDING PERMIT ISSUANCWCH $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR�--� <br /> (B) EXIST._--WATER SERVICE.APPLICATIOIJ NO.—�— <br /> (7) STATUS OF SEWER CHARGES: FOOTAGE_�— <br /> BOND----��STRICT_— , N;; s, e, w <br /> � <br /> � <br /> s � <br /> SYSTEMS DEVELOPMENT <br /> i <br /> WATER� <br /> SEWER � <br /> � TOTAfORD. FEE ` <br /> � <br /> SEWER CONNECTION CHARGES�\ <br /> YEAR�—TRUNK ; $ <br /> � <br /> LATERAL � �� <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PEbMIT FEE $ <br /> ,\� <br /> � <br /> � <br />