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� r <br /> FOR OFFICE USE ONLY <br /> ADDRE55 <br /> (1) BUILDING PERMIT FEE s <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 /> E <br /> r�' <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE E IaCU <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR ��� INCH <br /> (B) E%IST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHAFGES: <br /> BOND OISTRICT FOOTAGE <br /> N, S, E, W � <br /> d �L� <br /> (,� �4�7� <br /> SYSTEMS�EVELOPMENT <br /> WATER �tC��O �C- -Gl�� <br /> SEWER ���^D.-�-- pnt�� O�� <br /> 70TALORD.FEE L-��r�= <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> IATERAL <br /> TOTAL CONNECTION I;HARGES S <br /> ao <br /> SEWER PERMIT FEE y �O � <br /> ��� � �' � S <br /> � <br /> � � - <br /> ( <br /> / �j•� �1 <br /> i <br /> �'�;� ��_1 ��' � / M <br />