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r-� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PER FEE <br />(A) PLAN CHECK Fl E <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TQ F <br />(A) TO BE DETERMINED BY BLDG. INSP <br />(B) EXIST._WATER SERVICE. <br />(7) STATUS OF SEWER CHARGES: <br />f <br />S <br />PERMIT ISSUANCE <br />INCH <br />PION NO. <br />SYSTEMS <br />WATER <br />SEWER <br />TOTAL( <br />SEWER CO ECTION C AR <br />YEAR T UNK S <br />LATER <br />TOT CONNECTION CHARG S <br />/ 26,0 ('� �3 a EWER PERMIT FEE. <br />6 � <br />-990 �i9.5 <br />