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FOR OFFICE USE ONLY <br />. ,; <br />ADDRESS <br />(1j BUILDING PERMIT FEE \ <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURGHARGES <br />(A} F3UILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PtRM1T <br />$ <br />$ <br />(6� WATER SEP.VICE TO BE PAID PRIOR TO BUILDING PERMIY'iSSUANCE $ <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR_. \\ I H <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND__DISTRIC! FOOTAGE , <br />SYSTEMS <br />ORD. FEE <br />CONNECTION CHARGES <br />._ TRUNK $ --•- <br />TOTAL CONNECTION CHARGES $ <br />" SEWER FERMIT FEE S <br />. / <br />