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� � <br /> FOR OFFICE USE ONLY <br /> ADDNESS <br /> I1) BUILDIIJG PERMIT PEE 5 <br /> (A) PIAN CHECK FEE <br /> (2) PLUh9�ING <br /> �3) MECHANICAL I <br /> �a) SL1i[SURCHARGES � <br /> (A)6UILDING CODE- <br /> (B) ENERGV CODC <br /> �5) DRIVEWAY P[Rh11T <br /> 5 <br /> (6) WATER SERVIC6 TO 6E PAID PRIOR TO BUILDING PERMIT ISSUANCE 5 � ��� ,/ <br /> �)_ <br /> (A) TO BE DETERMINED 6Y�LDG.INSPECTOR_ INCH 2 ���(f�,q./ <br /> �B) E%IST. WATER SERVICE.APPLICATION N0. //' V� ��y <br /> / �l�J <br /> �i) STATUS OF S[WER CHAIiGES: / <br /> 60ND_--DISiRICT FOOTAGE � <br /> N. 5. G. �� � � <br /> (r� (./ <br /> SYSTEMS DEVELOPMENT ��/'�(J� C� <br /> WATER <br /> SEWER � c — <br /> TOTAL ORD.FEE ?ra g/ <br /> I .�l��I�CuG 1C/s,<I' r' .o�J � <br /> � yG�� - <br /> SEWER CONNECTION CHARGES <br /> �_��N)�/Il�n�i /-.J/G_'", !��/��I' YEAP _ TRUNK S <br /> �� � ;. 71/�% LATERAL — <br /> TOTAL CONNECTION CHARGES S _ <br /> SEWER PERM1IIT FEE 5 �� ' <br />