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� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECI< FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY �ODE <br />(5) DRIVEWAY PEfiM1T <br />(61 WATER SEqVICE TO BE PAID PRIOR TO BUILDING PERMIJ I SUANCE <br />(A) TO BE DETEF�MINED BY BLGG. INSpECTOFi _ ?� INCH <br />(@) EXIST. _ WATER SEHVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT _FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR '� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAROES <br />SEWER PERMIT FEE <br />$ <br />S <br />/�'0%3 <br />$ '?J <br />a _ <br />$ �o <br />