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�� <br />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) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <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 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 CONNE�TION CHARGES <br />SEWER PERMIT FEE <br />,Cl I� N�� � <br />$ <br />$ <br />$ l0� <br />'YO Z- <br />� <br />--T <br />$ �� <br />� <br />