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. . � � <br /> FOR OFFICE U:E ONLY <br /> ADDRESS <br /> (1) BUILDIN(3 PERMIT FEE j _ <br /> (A) PLAN CFIECK FEE _ <br /> (2) PlU6�BINci <br /> (3) MECHANICAL <br /> (1) STATE SURCHAR6ES <br /> (A)BUILDINO CODE <br /> (B) ENEROV CADE <br /> (5) DRIVEWAY PERIMT <br /> i <br /> (8) WATER SERVICE TO BE PAID PfiIOR TO BUILDMI(i PERMIT ISSUANCE t /�Ov <br /> (A) TO BE DETERMMIED BV BLDO.INSPECTOq a � MCM <br /> (B) EXIST. WA7ER SERVICE.APPLICATION N0. (o� ��- 3i 9S. � <br /> (7) STATU3 OF SEWER CHAR6E8: /.�j�n n n� !?7i 7 � <br /> BOND dSifilCT FOOTA(iE <br /> N, s, e. w <br /> �/�rj_ n(>_ � :.��<, Or� svstEn�soeve�o�ENr <br /> ^^�-� .nr�i�r' /';; .='� WATER ��� 57 <br /> J��J =� � SEWER �c�i/ ��3 <br /> TOTAL ORD.FEE //O/. v o <br /> SEYVER CONNECTION CHAROES <br /> YEM TRUNK t <br /> UTEAAL <br /> . TOTAL CONNECTION CH11R6ES t <br /> 3EYVEN PERMR FEE { ��.P�3 <br />