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FOR OFFICE USE ONLY <br /> ADDRESS — <br /> (1) BUILDINGPERMITFEE $ — <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE I <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH � <br /> �� <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. — ���1 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT _FOOTAGE N, s, r_, w � <br /> r / <br /> SYSTEMS DEVELOPMENT � / <br /> WATER <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES � <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE $ — <br /> / <br /> �2�`� � �7 �' /�� 7 7�// <br /> i32� @ i73 2 z I�� <br />�� _ <br />