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FOR OFFICE USE ONLV <br />ADDRESS _ <br />(1) BUILDING <br />(A� PLAN CHECK FP� <br />\ <br />�2) PIUMBI�IG <br />(3) MECHAN'CAL <br />(4) STATE SURCHARGES <br />(A) liUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAV PLRMIT <br />S <br />a <br />(6) WATER SERVICE TO BE PAID PRIOR BUILDING PERMIT ISSUA E f <br />(A) TO Bc' DETERMINED BY BLDG. INS CTOR _ INCH <br />(B) EXIST. WATER SERVICE. PPLICATION NO. <br />(7) STA7US OF SEWER CHARGES: . <br />S1'STEMS <br />•:� <br />CONNECTION <br />E <br />TOTAL CONNECTION CHARGES � S <br />SEWER PEPMIT FEE � S <br />