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� <br />� <br />FOR OFFICE USE ONLY <br />._. ._ _..._ <br />ADDRESS __ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHEGK 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 <br />N, S. E. W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TPUNK <br />LATERAL <br />TOTAI CONNECTION CHARGES <br />SEWER PERMIT FEE <br />_ _.. . .._... <br />$ <br />$ <br />g /3� <br />l�riSinr�./�� �. <br />/ �� Jri�i e _ <br />7 �d— <br />/�� <br />$ �� <br />/lnLn�. _'i"_ <br />