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FOR OFFICE USE ONLY <br />ADDRESF, <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING COCE <br />(B) ENERGY CODE <br />(5) DRIVEWl1Y PERMIT <br />(6) WATER SERV!CE TO 8E PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOH /� INCH <br />(0) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CfiARGES: <br />BOND DISTRICT FOOTAGE ___ <br />N, 5. E. W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWEN <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR ��� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />$ _ %' D <br />_ ��2 <br />�� y <br />f2910 <br />$ � �3�� <br />,L :39.5 <br />s 7�S <br />$ _ �O ��/� <br />