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� <br />� <br />u <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1� BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(�) MECHANICA� <br />(a) STATE SURCHARGES <br />(A) BUILDING GODE <br />(B) ENERGY CODE <br />(5) DRIVEWAV PERMIT <br />f <br />S <br />(6) WATER SERVICE TO BE PAID PPIOR TO BUILDING PERMIT ISSUAPICE f S�O <br />(A) TO BE DETERMINED BY BLDG. ItJSPECTOR Z A INCH <br />_d <br />(B) EXIST. WATER SERVICE. APPLICATION NO. � .Gir <br />p) STATUS OF SEWER CHARGES � i �i f/fY)� <br />BOND DISTRICT FOOTAGE � �� � � �Q" - I <br />N. 5. E. W �5� � <br />SYSTEMSOEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />�3 U z c. <br />a�l �- <br />S <br />E <br />SEWER PERMIT FEE S <br />i/O/ ov <br />v�� ,,5��..� �/ <br />(�os H�,.CcS v.` <br />L' �.�oi �..1, <br />