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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CFIECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />$ <br />0 <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSIIANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE. APPLICATION N0. <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. F'�E <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER P�RMIT FEE <br />$ <br />$ /0.5 - <br />�z <br />� <br />/29� <br />$ - <br />$ <br />���s� G y��� - 7U z�9 <br />3�� � i 7�3 �.�3� <br />�' 2 5' <br />