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FOR OFFICE USE ONLY <br /> ADDRESS--.--- <br /> (1) <br /> DDRESS__. _-(1) BUILDING PERMIT FEF. $ - <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 <br /> �/ /_L�i1 <br /> - / <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. �- 0� <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N. S. E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER a — <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ <br /> SEWER PER AIT FEE $ — <br /> 'fin <br />