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Ft�R OFrICE USE �NLY <br /> ADDRESS <br /> (1) BUILDING PERMII' FEE $ <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 /> S �� Jv <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER611T ISSUANCE $ _ �JSD <br /> (A) TO BE UETERMINED BY BLDG. INSPECTOR_ � INCH <br /> �� ��,�n��- 1 <br /> (B) EXIST. WA7ER SERVICE.APPLICATION NO. KB <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER /�J,� <br /> SEWER ��p� <br /> TOTAL ORD. FEE /�/�; <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE g _ /O, Ov <br /> /�3/ - s/� � 92307, <br /> �,/�9 C�'' � 7 3 :�'y�G <br />