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FOR OFFICE USE ONLY <br />AD�RESS <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 />(8) WP.TFF SERVICE TO BE PAID PRIOR TO BUILDINO PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLD(3. INSPECTOFi _ INCH <br />(B) EXIST. WATER SERVICE. APPLICAI'{ON NO. _ <br />(7) STATUS OF SEWER CHAROES: <br />BOND_ DISTRICT FOOTAGE <br />N, 5, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTALORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PEFMIT FEE <br />$ <br />$ <br />$ <br />f��� -/= <br />�/ 7 <br />/c� %Cv _ <br />