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� � <br /> FOl1 OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDINO PERMIT FEE { <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINCi <br /> (J) MECHRNICAL <br /> (�) STATE SURCHARQES <br /> (A)BUILDIN6 CODE <br /> (B) ENER�V COOE _ <br /> (5) DRIVEWAV PERMIT <br /> t <br /> (8) WATER SERVICE TO BE PAID PRIOR TO BUILDINO PEflMIT IS UANCE { /30 <br /> (A) TO BE DEIERMINED BV BLDO.INSPECTOR 3� INCH <br /> (B) EXIST. WATER BERVICE.APPLICATION NO. <br /> (7) BTATU9 OF BEWER CHAHdEB: <br /> BOND 018TRICT FOOTAOE �� <br /> N, B, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER (/00 <br /> 6EWER /O/ '� <br /> TOTAL ORD.FEE /L� <br /> 6EWER CONNECTION CHAR6ES <br /> VEAR TFUNK { _ <br /> LATERAL <br /> TOTAL CONNECTION CHAROES f <br /> SEWER PERMIT FEE f 7U <br /> (��/c, i4�9 2923/ <br /> l� <br /> i���� ��� �i ���� <br /> u:� ���o zi�o8 <br /> iv4� iv����� <br />