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�OR OFFICE USE ONLY <br /> ADDRESS <br /> (t) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECNANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID P'�IOR TO BUILDING P[RMIl' ISSUANCE $ / �� — <br /> (A} TO BE DETERMINED BY BL:1�. INSPECTOR INCH � <br /> (B) EXIST. WATER Sc •/ICE.APPLICATION NO. <br /> (7) STATUS OF SEW�R CHARGES: <br /> BOND DISTRICT FOOTAGE N, S. E, w <br /> SYSTEMS DEVELOPMENT _zL�� / <br /> WATER — <br /> SEVdER � �� <br /> TOTALORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ —�� <br />