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� <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE I <br /> (2) PLUMBING -- ----- ' <br /> (31 MECHANICAt <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ //S(v ��7 <br /> Sen.��ce -{',�,-,�_ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PE IT ISSUANCE $ /`�`��� 3����� �- �� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR `�� INCH`. ;;�' �" ,: � `� J i <br /> (B) EXiST. WATER SERVICE.APPLICATION NO. � ��� ���c��/' <br /> p) STATUS OF SEWER CHARGES: -// <br /> BOND ���`'� /99� <br /> DISTRICT FOOTAGE <br /> N, S, E.W <br /> ��� � � / _ SYSTEMS DEVELOPMENT <br /> � � / �J� �V�.l(;i_ <br /> WATER <br /> SEWER <br /> , TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> /� �� �� �� YEAR_ ��La� TRUNK $ <br /> U� LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 7�• � � <br /> {�//--� 3�/� 70 <br /> %��� /�'�i� �z �i�� 60 <br />