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� <br />r <br />EOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERHIIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUM6ING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(8) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(61 WATER S[FVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DEl ERMINED BY BLDG. INSPECTOR._ INCH <br />;B) EXIST. WATER S6RVICE. APFUCATION NO. -- <br />(7) STATUS OF SEWER CHARGES: <br />BOND —DISTRICT_ FOOTA6E v, 5. e, r+ <br />SYSTEMS DEVELOPMCNT <br />WATER <br />SEWER <br />TOT: L ORD. FEE <br />SEWER CON�JECTION CHARGES <br />YEAR _TRl!NK <br />LATERAL <br />TOTAI CONNECTION CHARGES <br />3 <br />5 <br />3 <br />y <br />S <br />SEWER PERMIT FEE 5 _ <br />�.� <br />- � ����`l`�V r J/ <br />�� � �� �r <br />