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� <br />� <br />FOR OFFICE USE QNLY <br />ADDRESS <br />(1) BUILDINGPEflMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBI�lG <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) ORIVEWAY PERMIT <br />(6) ViATER SERVICE TO BE PAtD PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED E3Y BLDG. INSPECTOR _- INCH <br />(E) EXIST� WATEF SERVICE. APP;.ICATION NO. __ <br />(7) STATUS OF SEWER CHARCES: <br />BOND_ DISTRICT Fl"�OTAGE N, 5. E, W <br />SVSTEMS �EVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CON�ECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />S <br />g -_ <br />g /C'� <br />