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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 SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR_. _ - <br /> _INCH <br /> (B) EXIST. WATER SERVICE.APPLI,.;Al ION NO. __----- <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND_ DISTRICT FOOTAGE N S, E, W <br /> SYSTEMS DEVELOPMENT ' <br /> WATER <br /> SEWER n D <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR_----TRUNK $ —� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ —7--- <br /> SEWER PERMIT FEE $ /�— <br /> CILi0 / <br />