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0 <br /> FOR OFFICE USE ONLY <br /> ADDRESS --. -- - .----- - _-__ .---_-_ <br /> (1) BUILDING PERMIT FEE ° --- - ------ - ----- - <br /> (A) PLAN CHECK FEE --- ------- -- --- <br /> (2) PLUMBING <br /> (7) MECHANICAL -- - - -- <br /> (4) STATE SURCHARGES --- - <br /> (A)BUILDING CODE <br /> (B) ENERGY CODE - - - <br /> (5) DRIVEWAY PERMIT -- --- <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE f, 130 _ <br /> (A) TO BE DETERMINED BY CLOG.INSPECTOR.__.. _INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES <br /> BOND-DISTRICT---FOOTAGE x, S. E. w <br /> tA- G <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL - - <br /> TOTAL CONNECTION CHARGES f _ <br /> SEWER PERMIT FEE f - <br />