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�=� <br />1 <br />�w <br />FOR OFFICE USE ANLY <br />ADDRESS __ <br />(t) BUILDING FERMIT 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) DRIVEWAY PERR9IT <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 �JRD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRU�K <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />�/,�'2 <br />% �(� � <br />J213 <br />$ <br />$ - <br />$ /U <br />m <br />