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� � <br /> FOR OFFICE USE ONLV <br /> c ,^Solo -oa� <br /> ADDRESS_��L(�_F(_�da_y��_�_— <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEF. <br /> (2) PLUMBING _ ___ <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING GODE <br /> (B) ENERGY COOE _ <br /> (5) DRIVEWAY PFRMIT <br /> S <br /> (6) WATEH SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S _ JD <br /> (A) l'O BE DETERMINED BY BLDG. INSPECTOR INCH <br /> � (B) EkIST. WATER SERVICE.APPLICATION NO. _ <br /> . (7) STATUS OF SEWER CHARGES: <br /> � BOND _DISTRICT FOOTAGE pp ��v <br /> N. 5. E. W ���J� <br /> �l <br /> SYSTEMSDEVELOPMENT <br /> WATER <br /> SEWER __ <br /> TOTALORD.FEE .___l�'� � <br /> SEWEP CONNECTION CHARGES <br /> YEAR TRUNK S <br /> IATERAI �� <br /> TOTAL CONNECTION CHARGES S � <br /> SEWEF PERMIT FEE S - 7D <br /> Z/Z <br />