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F01� OFFICE USE JNLY <br /> i <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 CODE _ <br /> (B) ENERGY CODE _ <br /> (5) DRIVEWAY PERMIT _ <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO B ILDING PERMIT ISSU CE $ <br /> (A) TO BE DETERMINED 13Y BLDG. INSPEC OR INCH <br /> (B) EXIST. WATER SERVICE. A LICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> , S, E, W <br /> SYSTE S DEVE OPMENT <br /> WAT� <br /> SEWE _ <br /> TOTAL D. FEE <br /> SEWER CONN C ON CHARGES <br /> YEAR TRUNK $ <br /> LATERAL - <br /> TOTAL CON ECTION �1ARGES $ <br /> \ <br /> SEWER P MIT FEE \ S <br /> � <br />