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� � <br /> FOR OFF'ICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMR FEE $ _ <br /> (A) PLAN CHECN FEE <br /> (2) PLUMBING _ <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING GODE <br /> (B) ENERGY CODE __ <br /> (5) ORIVEWAY PERMIT � <br /> $ I <br /> � <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ IO�D � <br /> (A) TO BE DEl'ERMINED BY BLDG.INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICRTION NO. � ' <br /> (7) STATUS OF SEWER CHARGES: �I <br /> BOND DISTRICT FOOTAGE I <br /> N. S. E. W <br /> SYSTEMS OEVELOPMENT / /, <br /> 1NATEF IGUQ <br /> SEWER �D I.�J <br /> TOTAL ORD.FEE / IO I.3 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL _ <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE 5 /D <br /> .3�4�8 L' ��.�6 25S93P I <br /> ��� � /'�� i/23Z <br /> I <br />