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� <br /> FOR OFFICE US� 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) D9IVEWHY PERMIT <br /> f'� $ <br /> ( (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _ /OJ`� <br />� !�' (A) TO BE DETERMINED BY BLDG. INSPECTOR_ INCH <br /> . <br /> (B) EXIST. WATER SERVIC[.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT / <br /> WATER (G�' <br /> SEWER - <br /> TOTAL ORD. FEE (D�� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNEC�ION CHARGES $ <br /> SEWER PERMIT FEE $ /� <br />