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� � <br /> FOR OFFICE I�SE ONLY <br /> ADDRESS_ _____ <br /> (1) BUILDING PERMIT :E f _ <br /> �A) PIAN GHECK FE <br /> 17) PLUMOING <br /> (�) MECHANICAL <br /> (4) STATE SURGHARGES <br /> (A)BUILOING COOE <br /> (0) ENERGY LODE <br /> (5� DRIVEWAV PEHMIT <br /> S <br /> (6) WATER SERVICE TO�E PAID PRIOR TO UILDING PERMIT I55 ANCE E <br /> (A) TO OE DETERMINED BY BIDG. INSPE TOR INCH <br /> (B) EXIST. WATER SERVICE.A UCATION N . <br /> (7) STATUS OF SEWER CHARGES�. <br /> BOND_ DISTRICT 00T GE <br /> N. 5. E. W <br /> SVSiE S VELOPMENT yI <br /> W TER <br /> EWER <br /> TOTALORD. E <br /> WER CONNECTION C RGES <br /> YEAR T UNN S <br /> LATERA� <br /> TOTAL CONNECTION CHARGE S <br /> SEWER PERMIT FEE S <br /> ' i _ <br /> � �� `���` 7:.'7(G <br /> ,;��'�� � , <br /> ��. ;' /��s /�(J�7 <br />