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��JILDING I�ERMIT IN�4aMAT10�1 <br />ADDP.ESS <br />(1) BUILDING PERMIT FE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGYCODE <br />(5) DRIVEWAY PERMIT <br />(E) bVATE:� SERVICE TO B� PAID P�i\IOR TO BUILDING <br />(A) TO BE DEIERMINED BY BLD . INS?ECTOR_ <br />(8) EXIST. WATER SE��/ICE APPLICA�� <br />(7) STATUS OF SEWtR CHF,RGES: \ % <br />BOND____ DISTRICL � FrYni <br />iMIT ISSUANCE <br />_ INCH <br />NO. <br />E <br />N, S, E, W <br />ORDrj�l/{NCE 1171•85 <br />WAQER <br />� \ <br />SFW R <br />/�TOTAL RD. FEE <br />�EWER COVNE TION CHARGES <br />�'EAR _�_ TRUNK <br />LATERAL <br />TOTAL C( <br />S�WER PERMIT FEE <br />� <br />S <br />S <br />S _ <br />E <br />