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FOR OFFICE USE ONLY <br />ADDRESS _ <br />(1) EUILDING PERM11' FEE <br />(A) PLAN CHEGK FEf: <br />(2) PLUMBING <br />(9) MECHANICAL <br />(4) STATE SURCHARCES <br />(A) �UILDING CO�E <br />(B) ENERGI' CODE <br />(5) DRIVEWAV PERMIT <br />f <br />S <br />(6) WATER SERVICE TO BE PAID PRIOR TC� BUILDING PERMIT ISSUANCE S SC� I%✓I lR <br />(A) TO BE OETERMINED BY BIDG. INSPECTOR INCH �i� " <br />(B) EXIST. WATEA SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: ����•' �; <br />BOND OISTRICT _FOOTAGE <br />N, 5. E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />:iEVIER <br />1'0T4L ORD. FEE <br />SEWER CONNECTION CHARG[S <br />YEAR_ TRUNK S <br />LATERAL <br />TOTAL CONNECTION CHARGES f <br />SEWER PERMIT FEE S <br />u 99� � ��o� <br />0 <br />