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^. <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(0) ENERGY CODE <br />(5) DRIVEWAY 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. APPL!CATIO�' NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE N, S, E. W <br />SYSTEMS DEVELUPMENT <br />WATER <br />SEWER <br />TOTAL ORD. F[E <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />'% �a �,� �. ;'�l� �- <br />$ <br />$ <br />�a�v� <br />�O�iCO <br />�JJ � �O <br />g �%O <br />, <br />/.� Sy�• / <br />