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FOI� O�F�CE USE ONLl� <br /> ADDRESS <br /> (1) BUILDING PERMIT FCE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMf�ING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> I�I (B) ENERGY� CODE <br /> i (5) DRIVEWAY PERMIT <br />� $ <br /> I (G) WATER SERVICE TO BC PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � �n�' <br /> (A) TO BE DETERMIIJED BY BLDG. INSPECl'OR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. — <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT � �J <br /> WATER "�`� �� — <br /> SE4VER � - <br /> TOTALORD ��E ����� - <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUIJK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ / � <br /> .� <br />