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� i <br /> FOR OFFICE USE ONLY �! <br /> ADDRESS <br /> (1) BUILDING PEqMIT FEE $ <br /> (A) FLAN CHECK �EE <br /> (2) PLUMBING <br /> (3) MECHANICA� <br /> (4) StPTE Sl{RGH�IRGES _ <br /> (A) BUILDING CODE <br /> i (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> ._ $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ __ /Q <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (� STATUS OF SEWER CHARGES: <br /> �� DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVE�OPAAENT <br /> WATER _ 2, <br /> 3E1NER <br /> TOTAL ORD. FEE ���_ <br /> SEWER CONNECTION CHARGES <br /> YEAFi TRUNK a <br /> IATERAL / <br /> , TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ _ �d <br /> /2�� G �9 9 ����o <br /> �/ya � i� � �a�� <br /> _ <br />