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� � <br /> F�F� OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERM1IIT FEE g <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) E3UILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY FERMIT <br /> 5 <br /> �; <br /> (6) WATER SERVICE TO BE PAID PRIOF TO BUILDING PERG^.�f ISSUANCE $ � fSO �OI�,P' <br /> (A) TO BE DETEPMINED BY BLDG.INSPEGTOR_ INCH /7P �'�zU� <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. �4/�/6� <br /> p) STATUS OF SEWER CHAR6ES: <br /> BOND DISTRICT FOOTAGE_ <br /> N. S. E, W <br /> SYSTEMS DEVELOPMENT <br /> WATEF _ <br /> SEWER <br /> TOTALORD. FEE <br /> SENlER CONNECTION CHARGES <br /> YEAR IRUNK S <br /> LATERAI. <br /> TOTALCONNECTIONCHARGES 5 <br /> SEWER PERMIT FEE � <br /> g3°, <br /> `o'� ��,�i <br /> a��� �'� I �D <br /> .� <br />