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s � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDINGPERMITFEE S <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> �3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> IA)BUILDING COOE <br /> (B� ENERGY CODE <br /> (5) DRIVEWAYPERMIT <br /> E <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE f �� �/'%J dl� �S <br /> p �7 <br /> (A) TO BE�ETERMINoD BV BLDG.INSPECTOR � INCH /.Jn` ,3[�)�D <br /> 7� <br /> (B) EXI^uT. WATER SERVICE.APPL�CATION NO. <br /> (7) STATUS OF S[WER CHARGES: <br /> BOND _DISTRICT FOOTAGE <br /> N. S. E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER � <br /> SEWER I <br /> TOTALORD.FEE �Z �p <br /> SEWER CONNEC110N CHARGES <br /> YEAR TRUNK $ _ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ / <br /> �— <br /> SEWER PERMIT FEE $ /O <br />