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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 /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> (6) WATER SL'RVICE"i 0 BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _r <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATEFI <br /> SEWER _ <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ )1 O0 <br /> 1,3696 <br /> gZ/D`3C� <br />