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FOR OFFICE USE ONLY <br /> ADDFESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUh1BING - <br /> (3) MECHANICAL <br /> (4) STATE SURCHAFGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRiOR TO BUILDING PERMIT ISSUANCE 3 _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: ! <br /> BOND DISTRICT__ FOOTAGE N, S, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER - <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ - <br /> LATERAL <br /> , <br /> TOTAL CONNECTION CF�ARGES $ <br /> SEWER PERMIT FEE � <br /> ., <br />