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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 CODF <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 />j8) EXlST. _ WATER SEFVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE_ <br />N. S, E, W <br />SYSTFMS DEVELOPMENT <br />WATER <br />SEWcR <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHkRGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />/�o/ @ �7� ��o�� <br />,r�,,�S � /73 7� 7Z <br />$ <br />S . /0,5 . . . <br />��-�. O � <br />'�'-- u�.�o r <br />-���. �v <br />$-� <br />