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FOR OFFICE USE ONLY <br />ADDRESS - <br />(1) <br />BUILDING P_r%MIT FEE <br />(A) PLAN CHECK FEE <br />(2) <br />PLUMBING <br />(3) <br />MECHANICAL <br />(4) <br />STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGV CODE <br />(5) <br />DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. . WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND_ DISTRICT FOOTAGE N, S. E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />WAR —TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ — / be;� <br />d2�/,17 - - <br />Id 5Cc <br />$ 3?v <br />$ 70 <br />