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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) S1ATE SURCHARGES <br />(A) BUILDING CODE _ <br />(6) ENERGY CODE _ <br />(5) DRIVEWAY PERMIT <br />$ <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR _ INCH <br />(B) EXIST. WATER SERVICE. APPLICATICN NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT-- FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />