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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS - �-- <br /> (1) BUILUING PERMIT FEE g - <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)�UIIDING CODE <br /> (R) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIDA TO BUILDING PERMIT ISSUANCE 5 �'�-� <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR INChI <br /> (B) EXIST.__WATERSERVICE.APPLICATIONNO. _ <br /> (7) STATUS OF 3EWER CHARGES: <br /> `�JND _D�STRICT_ FOOTAGE <br /> N, 5. E. V.� <br /> SYSTEMS DEVELOPMENT <br /> WATER �0� <br /> SEWER - <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR_ TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWERPERMITFEE 5 l� <br /> I <br />