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FOR OFFICE USE ONLY <br />ADDRESS l %3 "-/l �;Z S!�, J <br />, 1 <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) DRIVE'NAY PERMIT <br />(6) WATtR SER4,CE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE - <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR <br />(B) EXIST. -� INCH <br />WATER SERVICE. APPLICATION <br />(7) STATUS OF SEWER CHARGES: <br />BOND_ DISTRICT <br />� FOOTAGE <br />N- S 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 FERMITFEE $ 7���/ <br />