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, <br /> FOR OFFICE USE ONLX <br /> ADDRESS <br /> (1) BUILDINGPERMITF�:E $ <br /> (A) PLAN CHECK FEc <br /> (2) PLUMBING <br /> (3) MECHAMCAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE _ <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT _ _ <br /> $ <br /> (6) WATEfi SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S l/'S� _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH � � � _,,�� r`� <br /> J�. <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: �� /J�r� i`�ln 1 <br /> BOND DISTRICT FOOTAGE <br /> N. S, E. W <br /> �e� ��o��C <br /> /� SYSTEMS DEVE�OPMENT ,�/ ,/', <br /> J'i'jU�C' Pv1 ,ti_ .�u�r.L in,c�ti WATER a,r,1 6yp 1�-- �{l <br /> �u� rt�1� 'a/ �.�5 c�o� ��cu..� SEWER � � d�/` — <br /> �,r �.G.,J �.46°. rj . <br /> = TOTAL ORD. FEE a��n <br /> SEWER CONNECTION CHARGES <br /> YEAR ��TRUNK $ �=''� <br /> LATERAL' ��` _ <br /> TOTAL CONNECTION CHHRGES $ <br /> SE`.NER PERMIT FEE $ 70 DJ <br />