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� � L <br /> 30 29 <br /> �OR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT F�E $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUM�ING - <br /> (3) MECHANICAL -�-- <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (0) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (t�) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU�NCE g �Q�� <br /> (A) TO B'c DETERMINED�Y BI.DG.INSPECTOH INCH <br /> (8) EXIST. WqTEFl SERVICE.APpLICATION NO.___ <br /> (71 STATUS OF SEWER CIIARGES: <br /> BOND D�STRICT_. FOOTAGE_ - <br /> N, S, G. W _ <br /> SYSTEMS DEVELOPMGt1T <br /> WATER _ �Jnn <br /> SEWER ���3 <br /> TOTALORD.FC-E _ �lDI.3 <br /> SEWER CONNECTION CHARGES <br /> YEAR_ TRUNK g <br /> LATERAL � <br /> TOTAL CONNECTION CHARGES g <br /> SEWER PERMIT FEE g ]� - <br /> � � <br /> � <br />