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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE S - <br /> (A) PLAN CHECK FEE <br /> (2) PLUMB�NG <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENERGY CODE - <br /> (5) ORIVEWAY PERMIT — <br /> E �/C��� P'-� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S ,�)�O ��.���'s��iL <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR � - a INCH � -. ��� ��.�"_ <br /> (B) EXIST. WATER SEHVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND _DISTRICT FOOTAGE <br /> N, 5. E, W <br /> SYSTEMS DEVr iPMENT <br /> �'� X .��' '� WATER �I3�I� <br /> SEWER �j'-� <br /> TOTAL ORD.FEE �� �' ��' — <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> fi b"30� 3��q��t. S f, RAL <br /> ^�OR'TN STi�R. L CONNECTION CHARGES E <br /> /� ER PERMIT FEE f /�7 <br /> �C�.h�/'�� Wc'��r Av_itC . <br /> .{;y.. /�f [<.v� <Nn Ucd�t) r�j� %-'^ <br /> — nr vrl <br /> �r ��YJ, <br /> 7 �� .5:..�✓ir �7/'n,il-. <br /> �'� <br /> G(,+��'� d p1 �o <�s1alL <br /> fw n 2'� ��G�f.,- sc••�,«s <br /> 12�c�+l2o0 <br /> c-,�.�,� D��,. onc �� �;rc _ <br /> � <br />