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� � <br /> FOR OFFICE USE ONLY <br /> u . . . . . ... . .._ M <br /> ADDRESS _ <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE _.— <br /> (2) PLUMOING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) EJILDING CODE <br /> (B) Et�ERGY CODE <br /> (5) DflIVEWAY PEflM1T <br /> S <br /> (6) WATER SEFVICE TO BE PAID PRIOR TO aUILDING PERMIT ISSUANCE $ �-�'v <br /> (A) TO BE DETERMINED OY BLDG.INSPECTOA _INCH <br /> (H) EXIST. WATER SERVICE.APNLiCATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, 5. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER 7�� <br /> SEWER <br /> TOTAL OFD.FEE �6� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL — <br /> TOTAL CONNECTION CHARGES $ . <br /> SEWER PERMIT FEE $ 7J <br />