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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (i) BUILDINGPERMITFEE g _ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL � <br /> (4) STATE SURCHARGES i <br /> (A�BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO 8[PAID PRIOR TO BUILDING PERMIT ISSUANCE S ����J <br /> d <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOF_ � INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N. 5. E, W <br /> SYSTEMS DEVEIOPMENT <br /> WATER � �i <br /> SEWER � S <br /> TOTAL ORD.FEE L/7S 9 I <br /> SEWER CONNEC710N CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAI CONNECTION CHARGES $ I <br /> SEWER PERMIT FEE $ 7v <br /> -$} - � <br /> �t�`u..�., o.,.t.- i'r�.i .�i ��r�;�� �� M�✓[/G'm �rv.� �90-!_<,; <br /> /r7 9ln �' '� _ �/''�i� <br /> �tfe.��� 2��-� . _ �,i ,� i..� _ /',;— ;f X �/ i�9 = /575 <br /> S��/ <br /> is�_,- <br /> �„ — <br /> I <br />