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i <br /> FOR OFFICE USE ONLY <br /> ADDRESS— <br /> (1) BUILDING PER1viIT FEE $ — <br /> (A) PLAN CHEC:K FEE <br /> i (2) PLUMBING <br />! (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE � <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> /ii /�� � <br /> � (6) WATER SERVICE TO BE PAID PRIOH TO BUILDING PERMIT ISSUANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) [XIST. WATER SERVICE.APPIiCATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE N s, E. w <br /> SYSTEMS DEVELOPMENT / <br /> WATER — ff'G'� <br /> SEWER / <br /> TOTALORD. FEE — /�` C) <br /> SEWER CONNECTION CHARGES <br /> YEP.fi TRUNK $ — -- <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ <br /> SEWER PERMIT FEE � �' " <br /> � lu ��-�-1 <br />