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� <br />r. <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PI.UMBIN(i <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUI�DING 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. APPLICA� �N 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 CONNECI�ION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />3 <br />$ <br />H <br />� <br />�0 <br />�/� <.�_. <br />�/6a <br />$ �U � <br />