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FUR AFFfCE 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 />(8) ENEfiGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SER'JICE TO BE PAID PPIOR TO BUILDING PERMIT ISSUANCE <br />(A'� TO BE DeTERMINED BY BLDG. INSPECTOR _ _ INCH <br />(B) EXIST. WATER SERVICE. APPLICATION 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 />S[WER PERMIT FEE <br />$ <br />$ �1���..:� � <br />��) ��'r `�%� <br />�,'�?� <br />�f%� <br />/,7r' <br />3 <br />$ <br />