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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDINGPEfiMITFEE f <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 PER411T <br /> $ <br /> (6) WATEfl SERVICE TO BE PAID'RIOR TO BUILDI�G 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. 5, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER ���� <br /> SEWER ��/ _ <br /> TOTAL ORD,fEE _ �ifA4 <br /> SEWEH CONNECTION CHARGL-& <br /> YEAR TRUNK $ �>�CJ <br /> LATERAL _ <br /> TOTAL CONNECTION CHARGES $ _ __ <br /> SEWER PERMIT FEE S i� <br />