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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS__ —_— -- — <br /> (1) BUILDINGPERMITPEE S — <br /> (A) PLAN CHECK FEE — <br /> �2� PLUMOWG <br /> (3) MECHANICAL <br /> (a) STATE SURCHARGES <br /> (A)OUILDING CO�E <br /> (8) ENERGY COD[ -- <br /> (5) DRIVEWA'/PERMIT <br /> $ <br /> (6) WATER SERVICE TO�E PAID PRIOR TO BUILDING PERMIT ISSUANCE S _. <br /> (A) TO BE DETERMINED DY BLDG.INSPECTOR_ INCH <br /> (B) EXIST,_ WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND OISTRICT FOOTAGE <br /> N. S. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER _ <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGC-S <br /> YEAR TRUNK $ <br /> LATERAI <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S <br /> f�i /, �;� /f . ,� <br /> ✓ - <br /> ` .`, �, �; <br />