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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MEGHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(El) ENERGY CODE <br />(5) DFIIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEW�R CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, 5, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONN��ECTI'ON CHARGES <br />YEAR '/[/i TRUNK <br />LATERAL � <br />TOTAL CONNECTIOU CHARGES <br />SEWER PERMIT FEE <br />$ <br />3 l�23.��� - <br />�� <br />��A -'- <br />/'� <br />/,� 9l0 <br />$ ix J� O -- <br />rl .�9� <br />$ y �a - <br />$ _ JD <br />