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— , } ,_., <br /> , -�� � cr ,/ _ � <br /> ' _ G ; Sc <br /> FO� Orr:�=E 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 CODE <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _ �_ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH 7�� /- � <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. '�n� � �j� ,-��� <br /> (7) STATUS OF SEWER CHARGES: v � <br /> BOND DISTRICT FOOTAGE �� �/i� G <br /> N, 5, E, W / <br /> SYSTEMS DEVELOPMENT / <br /> WATER _ U/OD <br /> SEWER �� /J <br /> TOTAL ORD. FEE _�� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 7O <br /> /��/7 �� �7 � 134G�7 <br /> /</�32 ��o•� �32z <br /> � '� ���� �i� ci -�n� <br /> .J / 7—�' " _ <br /> 7?_0 � /7 s /?_ 551� . <br /> �2C � /,�•5 �� 70 <br /> ---- <br /> /2��S/�r" <br />