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• s <br /> FOR dFFICE USE OPlLY <br /> ADDRESS -- -- <br /> (1) BUILDING PERMII�FEE g -- <br /> (A� PLA�CHECK FEE -- <br /> (2) PLUMBING �- <br /> (3) MECHANICAL <br /> (4) STATE SURGHARGES <br /> (A)BUILDING CODE <br /> (B) ENEP3Y COGE - <br /> (5) DRIVEWAY PERMIT <br /> $ - <br /> (u) WATER SERViCE TO 6E PAID PRIOR TO BUIIDING PERMIT ISSUAt�CF. $ _ 7�'� <br /> . <br /> (A) TO BE DETERMINED BY BLDG.INSPF.�TOR � __-'�"�H <br /> (B) EXISL WATEF SERVtCE APPLICATION NO._ - <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND_ DISTRICT -FOOTAGE N. 5. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER ��� <br /> SEWER �ry��4''/' - <br /> TOTAL ORD.FEE ,�X'�7� �`� <br /> SFWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAI CONNECTION CHARGES $ - <br /> SEWER PERMIT FEE $ ,�� <br />