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e • . <br /> . , <br /> FOR OFFIC .F. USE ONLY <br /> ADDRESS " �` G�'Zl — — <br /> (1) BUILDING PERMIT FEE E — <br /> (A) PLAN CHECK FEE - <br /> (2) PLUMBING — <br /> (3) M[CHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE — <br /> (B) ENERGV CODE -- <br /> (5) DRIVEWAV PERMIT <br /> 5 <br /> N <br /> (6) WATER SEFiVICE TO BE PAID PRIOq TO BUILDING PERMIT ISSUANCE E <br /> (A) TO DE DETERMINED BY BIDG.INSPECTO�i INCH µ;�' Qy <br /> (8) E%IST. WATER SEHVICE.APnLICATION NO. ^�� b <br /> (7) STATUS OF SEWER CHARGES: <br /> V^ <br /> BOND DISTFICT_— FOOTAGE <br /> N. 5. E. W <br /> SYSTEMS�EVEIOPMENT <br /> WATER — <br /> ��y /_ �P�'d.�ff IO�'� SEWER <br /> G <br /> � �� � �3 TOTAI ORD.FEE <br /> �S,t ��d <br /> '��p,5 ( r lI"" /�/ YEqR R CONNECTION C TRUNK 8 _ _ <br /> �,^��� LATERAL <br /> v�j ,1�� TOTAL CONNECTION GHARGES E <br /> r� <br /> SEWEFPERMITFEE E �� <br /> q,�2� <br /> �qb <br /> �� <br /> � <br />