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� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUII.UING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUM�ING <br />(3) MECHANICAL <br />(A) STATE SURCHARGES <br />(A) BUILDING COD� <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR. INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S. E, W <br />��1,9i1�,�J1:� /S.AJ <br />/J SYSTEMS DEVELOPMENT <br />" � ` ,?�'/�I c�7�.::3 WATER <br />�' , <br />—" """"— SEWER <br />TOTAL ORD. FEE <br />. � SEWER CONNECTION CHARGES <br />�=D�'� 11T ����t� YEAR TRUNK <br />(•%a,��r:�_ Fr_ Di��� � LATERAL <br />/�����-� .S`�'�������-� TOTALCONNECTIONCHARGES <br />SEWER PERMIT FEE <br />a <br />$ <br />$ <br />/ ���`�'i - �3° <br />Z" ��„�,,.iL � � <br />2 <br />Co%5.33 <br />/ / a3 . ,4/J <br />/7���3 <br />$ <br />S <br />g �O <br />,�tIY��. '(/�✓O"i/L� �=.�wC:���. !/-)/i��CC /jfG�• <br />1� . - � . . .")�� <br />