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FOR OFF'ICE IiSE ONLY <br />ADDRESS _________ . <br />(1) BUILDING f'ERMIT FEE g <br />(A) PLAN CHECK FEE <br />12) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />6 _ <br />(6) WATER SERVICE TO 6E PAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br />(A) TO BE DETEIi�dINED BY BLDG. INSPECTCR INCH <br />(Ci) EXIST. __ WATER SERVICE. APF'LICATION NO. __ __ <br />(7) Sl'ATUS OF SEWER CHARGES: <br />BOIvD DISTFlICT _FOOTAGE____ <br />N, S, E, W <br />SYSTFMS DEVELOPMENT <br />U/ATER <br />EEWER <br />TOTAL ORD. FEE <br />SEWER CONNGCTION CHARGES <br />YEAR_ TRUNK $ _ <br />LATERAi. <br />TOTAL C�ONNECTION CHARGCS $ <br />SEWEF PERMIT FEE $ <br />