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FOR OFFICE USE ONLY <br /> �' <br /> ADDRESS / - <br /> (1) BUILDIN rERMIT FEE $ <br /> (A) PLAN HECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHA GES <br /> (A) BUILDING COD <br /> (8) [NERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE ?AI PRIOR TO BUILDING PFy MIT ISSUANCE S <br /> (A) TO BE DETERMINED BY BL G. INSPECTOR INCH <br /> (B) EXIST. WATER S RVICE.APPLI ATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND _DISTRICT_ FOOTAGE. <br /> N, S, E. W <br /> SY TEMS DEVELOPMENT <br /> W TER <br /> / SE R <br /> TOTAL RD. FEE <br /> SEWER CONNEC N CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CH RGES S <br /> -SEWER PERMIT FEE S <br /> � <br /> i <br /> / <br /> / <br />