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� � <br /> FOR OFFICE USE ONLY <br /> ADDRE55 <br /> (1) BUILDINGPER FEE f <br /> (A) PLAN CHECK E <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARG[5 <br /> (A�BUILDING CODE <br /> (B) ENERGY CODE <br /> �5) DRIVEWAY PERMIT <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO �LOING PERMIT ISSUANCE ayJ-� <br /> (A) TO BE DETERMINED BV BLDG. INSPEC R �ry� w <br /> (B) E%ISL WATER SERVICE.APP CATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTPICT FO TAGE <br /> N. 5. E. W <br /> SVSTEMS DEV O ENT <br /> WATER _ <br /> SEWER <br /> TOTA;. D.FEE <br /> SEWER NNECTION(:HAR S <br /> � <br /> YEAR TRUN f I <br /> LA RAL � <br /> TAL CONNECTION CHARGES f <br /> SEWER PERMIT FEE s <br /> / <br /> / I <br />