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� � <br /> FOR OFFICE USE ONLY <br /> AODRESS - <br /> (1) BUILDINGPERMITFEE S <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL — <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODF <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR 70 BUIL�ING PERMIT ISSUANCE E "l S�D. 9,(�r92 <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR INCH ���/�1 <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N. S. E, W <br /> SYSTEMS DEVELOPMENT ���JJJ���'''��� <br /> WATER �d <br /> SEWEP 1 / <br /> TOTAL ORD.FEE �Z��_ <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL — / <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S �D <br />