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� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT F�E <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO E <br />(A) TO BE DETERMINED [3Y BLDG. INSPE <br />(B) EXIST. WATER SERVICE. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT _ <br />PERMIT ISSUANCE <br />INCH <br />1►[�a <br />SYSTEMS D VE <br />WATER <br />SEWER <br />TOTAL ORD. <br />N, 5, E, W <br />SEWER CONNECTIO CHARGE: <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CH RGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />$ <br />E� <br />• <br />!, <br />�, <br />r� <br />