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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CUDE <br />(B) ENERGY CODE <br />(5) DRIV�WAY PERMIT <br />(6) WATER SEHVICE TO BE PAID PRIOR TO BUILDING PERMIT iSSUANCE <br />(A) TO BE DETERMINED B'f BLDG. INSPECTOR _— INCH I <br />(B) EXIST. WNTER SERVICE. APPLICATION NO. <br />(7) STATUS OF SENiER CHARGES: <br />BOND DISTRICT_ FOOTAGE N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEW ER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATEAAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />3 <br />$ <br />/ <br />3�� 1�i�-4S � <br />so � ��� � <br />g� �999P/ <br />���'2/ <br />�/-T--- <br />,[� 9le <br />$ 33G <br />�� <br />$ 33fl — <br />$ �d <br />a <br />�. � . .�`,-.;i,-.ii=y'r�!;i � <br />'1 <br />