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� � <br /> FOR OEFICE USE ONLY <br /> ADDRESS_ <br /> (t) BUILDING PERMIT E S <br /> 1 ' (A) PLAN GHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCNARGES <br /> (A)BUILDING CODE _ <br /> (B) ENERGY CODE <br /> (5) DRNEWAY PERMIT <br /> 5 <br /> (6) WATE9 SERVICE TO BE PAID PRIOR TO UILDING PERMIT IS ANCE 5 <br /> (A) TO BE OETERMWED 6V BLDG.INSPEC OR _INCH <br /> (B) EXIST. _WATER SERVICE.AP ICATIOtJ N . <br /> p) STATUS OF SEWER CHARGES: <br /> OOND _DISTRICT _F i E <br /> rt a e w <br /> SY�TEM DE LOPMENT <br /> WAT F _ <br /> S ER <br /> TALORD.FEE . <br /> SEW R CONNECTION CHA ES <br /> YE R TRU K S <br /> _ ERAL <br /> OTAL CONNECTION CHARGES S <br /> / SEWERPERMITFEE 5 ____ <br /> / <br /> i� <br /> '�j�(,� <br /> Y <br /> l ' � <br /> , � <br /> ii • . <br />