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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) <br />BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) <br />FLUMBING <br />(3) <br />MECHANICAL <br />(4) <br />STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) <br />DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT I SUANCE <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 <br />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 />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />4x /D G /7 3 7ul•/z <br />$ _ so U366-2 <br />d/ <br />AP ) 6O <br />$ <br />$ 70 <br />