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FOR OFFICE USE OI�LY <br />ADDRESS __ <br />(1) �UILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO Bi= PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINEL) BY RLDG. INSPECTOR INCH <br />(B) EXIST. 6VATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHAI�GES: <br />BOND DISTqICT_ FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL OFD. FEE <br />SEWER CONNEGTION CHARGES <br />YEAR �RUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />s _____---LD.�r. <br />\S7ii �Mrl. oaf� �(ri <br />�1,��r,�r� ��r�v <br />tr..L � hn.±t <br />b'/4�— <br />/� 9in — <br />$— .z �()— <br />$ _ 7� <br />