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FOR OFFICE USE ONLY <br /> ADDRESS- -- - - - -- -- <br /> (1) BUILDING PERMIT FEC S <br /> ;A) PLAN CHECK FEE <br /> (2) PLU•• 'NG <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES _ <br /> ;N 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 �S � ' c�ZG•"Z <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. r 7 2/905 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND--- DISTRICT--FOOTi%GE <br /> N. S, EE, W <br /> SYSTEMS DEVELOPMENT <br /> WATER 2 <br /> SEWER ,/_ <br /> TOTAL ORD. FEE __ 12%6 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ <br /> SEWER PERMIT FEE $ �� <br />