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FOR OFFICE 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) BUIIDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />a <br />$ <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE a�/ SD� /dZD _ <br />(A) TO BE �ETERMINED BY BLDG. INSPECTOR INCH 71 %�9� <br />(B) ExIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWEH CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, 5. E. W <br />SYSTEiv1S DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGES a <br />SEWER PERMIT FEE s <br />� <br />