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e <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUIUBIN(3 <br />(3) MECHANICAL <br />(4) STATE SURCHARGtS <br />(A) BUILDING CODE <br />(B) ENER(3Y CODE <br />(5) DPIVEWAY PERMIT <br />� <br />� <br />FOR OFFICE USE ONLY <br />A <br />,(8) �111ATFR SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />�, ;',., (A) TO BE bETERMINED BY BLD4. INSPEQTOH � INCH <br />; `,' .(8) �XIST. _WATER SEiiVICE. APPLICATION NO. <br />(7) StAjUS OF, SEWER CHAFiOES: <br />' 80Nb DISTRICT_ FOOTAGE <br />, , , N, S. E. W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />, TOTAL OAD. FEE <br />. . � . <br />�� SEWER CONNECTION CHARGES <br />YEAR —THUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />... i <br />:. <br />.._ ; <br />2/ 7(� @ <br />y/9 G�' <br />SEWER PERMIT FEE <br />i <br />' /l� ;/G /Z <br />� �� � z�� <br />$ <br />�$ _. __..__.... --- <br />S -�0:� --__'.... ... <br />�00 <br />u� L� . <br />g %U <br />0 <br />