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FOR OFFICE USE ONLY
<br /> ADDRESS $
<br /> (1) BUILDING PE�IMIT FEE
<br /> (A) PLAN CHEC FEE
<br /> (2) PLUMBING
<br /> (3) MECHANICAL
<br /> (4) STATE SURCHARGES
<br /> (A) BUIIDING CODE
<br /> (8) ENERGY CODE
<br /> (5) DRIVEWAY PERMIT $ _
<br /> (6) WATER SERVlCE TO BE PAID PRIOR TO UILDING PERMIT ISS ANCE $
<br /> (A) TO BE DETERMINED BY BLDG. INSPEC R
<br /> INCH
<br /> (B) EXIST. WATER SERVICE.APP CATIO O.
<br /> (7) STATUS OF SEWER CHARGES:
<br /> BOND_—DISTRICT FOO GE N, S, E, w
<br /> SYSTEMS DEVELOP ENT �
<br /> WATER �'�
<br /> .� SEWER
<br /> i�
<br /> � TOTAL ORD. FEE
<br /> / / SEWER CONNECTION CHARGES
<br /> �� YEAF_--TRUNK $
<br /> LATERAL
<br /> TOTAL CONNEGTION CHARGES $
<br /> SEWER PERMIT FEE ,_ $
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