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FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT F[E <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECH�.NICAL <br />(4) STATE SURCHAiiGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAYPERMIT <br />$ <br />5 <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S <br />(A) TO BE DETERMINED BV BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE. APPLICATION N0. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, 5, E. W <br />j x �1�5/ y��'�D SYSTEMSDEVELOPMENT <br />��u, �,rd,�-, C /.� S�. 7 WATER <br />a�7 SEWER p <br />TOTAI ORD. FEE �S 7 <br />SEWEH CONNECTION CHARGES <br />VEAR .TRUNK S <br />LATERAL <br />TOTALCONNECTIONCHARGES $ <br />SEWER PERMIT FEE 5 �d <br />