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C` <br />J <br />;7 <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUiL01NGPERMITPEE <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) ORIVEWAY PERMIT <br />$ <br />5 <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br />(A) TO BE DETERMINED BY BLCG. INSPECTOR INCH <br />(B) EXISL 1YA7ER SERVICE. APPIICAT10N NO. _ _ <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTFICT FOOTAGE <br />N, 5. E. W <br />� ;( ,�,_ry �//7O SYSTEMS DEVELOPMENT <br />��;d�t' �iSC </a �('' � WATER <br />a��' SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />5 <br />S <br />Sc�liv�" i � %�..� .��i dti.... <br />a�� <br />