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� � <br /> FOR OFFICE USE ONLY <br /> ADORESS_ -- <br /> (1) BUILOING PERMIT FEE s <br /> (A) PLAN CHECK FEE <br /> (2) PWMBING <br /> (9) MECNANICAL <br /> (d) STATE SURC'iARGES <br /> (A)BUILDING CODE — <br /> (B) ENERGY CODE <br /> (5) DRIVEWAV PERMI7 <br /> 5 <br /> (G) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S J�1LZ11 3S <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR. INCH � 3I378 <br /> (B) EXIST. WATER SERVICE.APPLiCATION NO._. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ FOOTAGE N, s, E. �i <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNEl:TION CHARGES S <br /> SEWER PERMIT FEE E <br />� <br />