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FOR OFFICE USE ONLY <br /> ADDRESS__ <br /> (1) BUILDING PERD4IT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> !B) ENERGY CC)DE <br /> (5) DRIVEWAY PERIAf� <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ 3/y �/� - <br /> (A) TO BE DETEFIMINED BY BLDG. INSPECTOR INCFI <br /> (B) EXISI'. -WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND _DISTRICT FOOTAGE <br /> N. 5, E, W <br /> SYSTEMS DEVEI.OPMENT /� <br /> WATER ( �C� <br /> SEINER - <br /> %� ( <br /> TOTAL ORD. �EE � J� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 7" <br />