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� � <br /> FOR OFFiCE USE 01�9L1f <br /> ADDRESS - <br /> (i) BUILDING PEiiM1T F5� � <br /> (A) PLAN CHECK FEE ��� - <br /> (2) PLUMBING � <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENEAGY CODE � <br /> (5) DRIVEWAY PERMIT \ � - <br /> 5 - <br /> (6) VlATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE/5 - - <br /> (A) TO BE DETERMINED BY�LDG. INSPECTOR � . INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT__ FOOTAGE <br /> , 5 E. W <br /> SYSTEMS D� ELO fviENT <br /> WATE <br /> SEW R <br /> TQ AL ORD.FEE - <br /> / <br /> SEW��r CONNECTION CHARGES <br /> YEpR__ TFUNK 5 <br /> TERAL <br /> OTAL CONNECTION CHARGES $ I <br /> SEWER PERMIT FEE S <br />