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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMI FEE S <br /> (A) PLAN CHECK E <br /> (2) PLUMBING <br /> (3! MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING GODE <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> 5 <br /> (f,; WATER SERVICE TO BE PAID PRIO TO BUILDING PEfiMIT ISSUAN S � ��r <br /> (A) TO BE DETERMINED BY BLDG.IN PECTOR INCH 'J�IA���I�l� 9 <br /> (9� Ex15T. _WATER SERVIC .APPLICATION NO. <br /> (7) STATUS OF SEWEF CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S. E Y/ <br /> S�STE VELOPMENT <br /> WATE <br /> SE R <br /> T ALOR .FEE _ <br /> SEW R CONNECTIO CHARGES <br /> Y R TRUNK S <br /> TERAL <br /> TOTAL CONNECTION CHA ES 5 <br /> SEWER F'ERMIT FEE 5 <br />