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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS — <br /> (11 BUILDING PEHMIT F[E s — . -- <br /> �A) PLAN CHECK FEE " — <br /> (2) P�UMBING — <br /> (Jl MFCHANICAI , � .. �'. . 1 i . '.'. . � . r�� . ... —'1- . . . • <br /> � (4) STATE SURCHARGES -� -- <br /> (A)BUILDING COD� -. <br /> (0) ENERGV CODE -- — <br /> (5) DRIVEWAYPERMIT <br /> 5 <br /> (6) W�7ER SERVICE TO BE PAID PRIOR TO BUILOING PEHM�T ISSUANGE $ .— <br /> (11) TO BE DETERMINED BY BLDCa.INSPECTOR INCH <br /> (B) EXIST. WATER SEHVICE.APPLIGATION NO. � � <br /> p) STATUS OF SEWER CNARGES: ' ' � ' ' ' � � � <br /> BOND DISTHICT_ POOTAGE � + � , � � ', , ' � � . <br /> 'N, 5. E. W ' <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWEH CONNEGTION CNARGES _ � <br /> YEAR_ TRUNK E <br /> LATERAL , <br /> TOTAL CONNECTION CHARGES S __ <br /> SEWER PERMIT FEE s <br /> � /5(0� C�'�fs�' 7� 9 PS <br /> 3210 ���9� /7�'�°� <br />