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i <br /> FOR OFFlCE USE ONLY <br /> ADDRESS <br />( (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK �EE <br /> (2) PLUMBING <br />� (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE _ <br /> (5) DRI�/EWAY PERMIT - _ <br /> $ - <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � / �3C�- <br /> (A) TO BE GETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SER\!ICE. APPLICATION N0. <br /> (7) STAT'IS OF SEWER CHARG[S: <br /> BOND DISTRICT _FOOTAGE_ _ <br /> N, 5, E, W <br /> SYSTCMS DEVELOPMENT <br /> WATER - C������ <br />, SEWER - <br /> TOTAL ORD. FEE �OOO <br /> ;;EWER CONNECTION CNARGES <br /> YEAR TRUNK $ <br /> / <br /> L4TERAL � <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ ?(J <br /> r iuv��! <br />, <br /> -- --- - - ..� <br /> _ __� - -- _ <br />