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� � <br /> FOR OFFICE USIe ONLY <br /> ADDRESS j <br /> (1) BUILDING PERMIT EE s <br /> (A) PLAN CHECK FE <br /> (2) PIUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES . , . . ,, , . , . ' <br /> - (A)BUILDING�CODE <br /> (B) ENERGY CODE '— <br /> (5) DRIVEWAY PERMIT � <br /> a I <br /> (6) WATER SERVICE TO BE PAID PRIOR TO UILDING PERM�T SUANCE S I <br /> (A) TO BE DETERMINED BY BLDG.INSPE OR INCH I <br /> (B) EXISL WATER SERVICE.AP ICATIO NO. i <br /> (7) STATUS OF SEWER CHARGES: I <br /> BOND DISTHICT F TAGE N. 5, E. W � <br /> i <br /> . SY EMS UEV LOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHAR S <br /> YEAR TRUN $ <br /> LATERAL — <br /> TOTAL CONNECTION CHARGES E <br /> SEWER PERMIT FEE <br /> � <br />