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FOR OFFICE USE ONLY <br /> ADDRESS $ <br /> (1) BUILDING PERMtIT FEE <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING \ <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE \� j �— <br /> (B) ENERGY CODE `:` rt �^ r"` � <br /> (5) DRIVEWAYPERMIT ;,,:�sy, a __ _ <br /> (6) WATER SERVICE TO BE PAID P��OR TO BUILDING PERMIT ISSUANCE � $ <br /> (A) TO BE DETERMINED BY BLDG�IN�SPECTQR <br /> INC � <br /> (B) EXIST. —WATER SERV�CE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES•�F�TAGE <br /> BCND._---DISTRICT � N, S. E w <br /> , <br /> SYSTEMS DEVELOPMENT <br /> WAT�H <br /> � <br /> SEWER\ <br /> TOTAL ORL�.F E <br /> SEWER CONNEC ON \HARGES <br /> YEAR TRUNK a <br /> LATERAL <br /> TOTAL CON ECTION CHARG a <br /> SEWER ERMlT FEE a <br /> i u.:�. <br /> / .__ <br /> � .__ � ��;�`4.� . <br /> w� 5 !.. � <br /> �4"� " ' <br /> �G�. � <br /> / \ : <br /> / 1 <br /> I �j <br /> �'i.r� ` :•••} <br /> � �e�a.vir+f�`.-.. . . . . . <br /> � fkf`' �� <br /> \ <br /> ' .. . � x �.�._. ,_ �, •,� <br /> h \. .Y �..' � i . <br /> . ' '.. _..,.. . . <br /> �, n �� <br /> - '' <br /> a_ ;� �u) _ . _ _:_.. �.:., .- , :. � �f , <br /> >. .. <br /> T _ <br /> .. <br /> 1� , <br /> ,- <br /> .;+A��- f.r-&{f� ^Nk �+ry w"".� .. S a � �y . <br /> � - aw e�b�f� . -� -. �a1 �< <br /> i". Y(ei9se , r • � . ..,n_ �,:NucWb...�Y�'4u rF�'p+ J �� � y <br /> .Lr+w. l,f'� <br /> ,� . <br /> �r- .• _. . . ��a�' i., . <br /> , . .. . ... _ . . . . . .� . . � . � .. , .. .. <br />