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FOR OFFICE USE ONLY <br /> ADDRESS----- <br /> (1) <br /> DDRESS --(1) BUILCING PERMIT FE-_ $ - <br /> (A) FLAN 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 /> $ <br /> (fi) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE E <br /> /Jn <br /> (A) TO BE DETERMINED BY SLUG.INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND--DISTRICTFOOTAGE <br /> N, S. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTA!.ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK E <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 7�� <br />