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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) MECHANI(:AL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � / �_ <br /> (A) TO BE DETERMINED 8Y BLDG. INSPECTOR INCH <br /> (8) EXIST. WATER SERVICE.AI�PLICATION NO. <br /> (?) STATUS OF SEWER �HARGES: <br /> E30ND DISTaICT FOOTAGE <br /> N, S, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER �O�O <br /> SEWEF <br /> TOTAL OHD. FEE �G��� <br /> SEWEH CONNECTION CHARGES II <br /> YEAR TRUNK $ _ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �� <br /> U� l� � / <br />