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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE � , � � � , : <br /> (A) Pl AN CHECK FEE <br /> (2) PLUMBING � <br /> (3) MECHANICAL <br /> (�) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENERGV CODE <br /> (5) ORIVEWAV PERMIT � � � <br /> S <br /> (B) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S �.5� <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR �� <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. . <br /> (� STATUS OF SEWEp CHAR6ES: � ' <br /> BOND DISTAICT FOOTA6E ' <br /> N, 5. E. W <br /> SYSTEMS DEVELOPMENT <br /> W/TER _ IqJO <br /> s�R �D/3 <br /> TOTAL ORD.FEE �IOI <br /> SEWER CONNECTION CHARGES <br /> YEAR._ TRUNK S <br /> UTERAL <br /> TOTAI CONNECTION CHARGES S <br /> SEWER PERMIT FEE f 7O <br />