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� <br />� <br />FOL�i OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBIPJG <br />(3) MECHANICA� <br />(4) STATE SURCHARGES <br />(A) BUILDING CODF <br />(B) ENERGY CODE <br />(5) DRIVEW'AY PERMIT <br />(9) WATER SERVICE TO BE PAID PRIOR TO BUILDING PEHMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLUG. INSFECTOR �__ INCH <br />(8) EXIST. WA7ER SERViCE. r.PPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOO;AGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />1'OTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEF.R TRUNK <br />LATEHAL <br />TOTAL CONNECgION CHARGES <br />SEWER PERMIT FEE <br />L /�� 70 -7 <br />$ <br />��� Z <br />�y 2 <br />$ 7� <br />