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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE 1 <br /> (2) PLUMBING <br /> (3) MECHANICAL ' <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE / <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUI ING PERMIT ISSUAN $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTO INCH <br /> (B) EXIST. WATER SERVICE.APPL CATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ F OTAGE <br /> N. S, E, W <br /> SYSTEMS D VEL MENT <br /> WP,TER <br /> SEWER <br /> TOTAL ORD E <br /> SEWER CONNEC ION C�ARGFS <br /> YEAR TpUNK $ <br /> LATERAL � <br /> TOTAL CONNE TION CHARGES $ <br /> SEWER PER T FEE $ <br /> 1 <br /> i� <br /> I <br /> % <br /> � <br />