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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FE!' � - <br /> (A) PLAN 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 /> $ <br /> (6) WATER SERVICE TO BE FAID PRIOR TO BUILDING PERMIT ISSUANCE $ _j �� �S �;���G7� � A��J <br /> (A) TO BE DETEAA9INED BY BLDG. INSPECTOR INCH �� ��'7Z/ � <br /> (B) EXIST. WATER SERVICE.APPLICATICN NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DiSTRICT FOOTAGE <br /> N, 5, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER ,�� <br /> SEWER � <br /> TOTAL ORD. FEE //J LJ/,� <br /> � <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL � <br /> TOTAL CONNECTION CHARGES $ • <br /> SEWER PERMIT FEE g _ �� <br />