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FOR OFFICE USE ONLY <br /> ADDRESS_ — — - <br />� (1) BUILDING PERMIT F�E $ <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 /> i ii <br /> (6) WATEF SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ /�� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (E3) EXIST. WATER SERVICE. APPLICATION NO. <br /> (7) STATUS OF StWER C4ARGEa: <br /> BO�ID CISTRICT _FOOTAGE <br /> N, S. E, W <br /> SYSTEMS DEVELOPMENT /'� � <br /> WATER C-l� �� <br /> SEWER <br /> TOTAL ORD. FEE ���� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ — <br /> LATERAL — <br /> / <br /> TOTAL CONNECTION CHARGES $ <br /> SEV'JER PERMIT FEE $ /�� <br /> �!Li/� ` / <br />