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FOR OFFICE USE Oi�1LY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE g <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ 7���.4!� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ �Z�G� <br /> (A) TO BE DETERMINED 8Y BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ FOOlAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> • ' i'I ���I � i .1 l ii , WATER �.j'� .�eo l 30� _ �02� <br /> � ,� � �C'17� SEWER /S7Z_.L01p :/I = �D� <br /> ` TOTAL ORD. FEE �G'77 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S — <br /> LATERAL <br /> TOTAL CONNECTION CHAAGES � <br /> SEWER PERMIT FEE $ 7D <br /> ,- � ; <br /> T, „ <br /> ���B � l �'-Uc 2so `�3� � � <br /> .5��,�ez�[va{zA- Dr�.��o��... .i <br /> �'��C% (�' {� //, 70 93100 oap is�s - 9u <br /> �(�L_ 24`I c,-�d,t fa,- �re sF,,,;cz �,� � � <br /> U (?pv p° c.�a.tc�., Sc2c.Kac� <br /> . ` a , _ ._ __ � <br /> . _ .S�1� _. /:. . . . . <br /> ' ��i_- ' . <br /> `/ <br />