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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.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BnND DISTRICT —FOOTAGE N S, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER km <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION t rIARGES <br /> YEARTRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �O <br />