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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) 3UILDING PERMIT FEE f <br /> A) PLAN CHECK FEE _ <br /> (2) PLUMBING <br /> (9) 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 FAID PRIOR TO BUILDING PERMIT ISSUANCE S _. <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR_ _INCH /4 -#0.i„ <br /> (B) EXIST.__WATER SERVICE.APPLICATION NO. !/�� <br /> (7) STATUS OF SEWER CHARGES <br /> BOND—_DISTRICT- FOOTAGE <br /> N. S. E. W / / <br /> L/ SYSTEMS DEVELOPMENT �//, > <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE �J�3 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES f _ <br /> 1 ' <br /> 1 SEWER PERMIT FEE f Je7 <br /> Q6) <br />