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,� �, <br /> FOR OFFICE USE ONLY <br /> ADDRESS _ - ' <br /> f1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE � <br /> (2) PLUMBING I <br /> (3) MECHANICAL <br /> (4) STATE SURCHARG�S _ <br /> (A) BUILDING CODE - <br /> (B) ENEflGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ I(JS <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 L����� - <br /> SEINER <br /> TOTAL ORD. FEE �4�� <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK $ - <br /> LATERAL - <br /> TOTAL CONNECgION CHARGES $ <br /> SEWER PERMIT FEE $ �� <br />