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FOR OFFICE 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 /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH J .25/i07 <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 — J77(lam <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL — <br /> TOTAL CONNECTION CHARGES $ —7/J <br /> SEWER PERMIT FEE $ _-- /�/ <br />