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� � <br /> FOR OFFICE USE ONLY <br /> ADORESS _ <br /> (t) BUILDINGPERMITFEE S <br /> (A) PLAN CHECK FEE <br /> 12) P�UM9ING <br /> (3) MEfHANICAL <br /> (4) STATE SURCHARGES <br /> (A�BUILOING CODE <br /> (B) ENERGY CODE <br /> (5) OR�VEWAY PERMIT <br /> a <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERI.�IT SSUANCE 5 ��L�/�i'S <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR '3� INCH S� � 9�� <br /> (B) E%IST. WATER SERVICE.APPLICATION NO. /I P � � �o �J <br /> (7) STATUS OP SEWER CHARGES: ��� <br /> BOND DISTRICT FOOTAGE___ <br /> N, $. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER ����/ <br /> SEWER J(/Y <br /> TOTALORD.FEE _ IdSCn <br /> SEWER CONNECTIUN CHARGES <br /> YEAR TqUNK f <br /> IATERAI <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE f 70 <br />