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�� <br /> r <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDINGPERMITFEE <br /> (A) PLAN CHECK FEE $ <br /> (2) PLUMBING — <br /> (3) MECHANICAL <br /> ,-.t�`;,.�;., (4) STATE SURCHARGES <br /> , '1' '' (A) BUILDING CODE <br />;_'�ii=t.'� .�'' ' (B) ENERGY CODE <br /> f;�`. ,. <br />, , „� �,�'' (5) DHIVEWAY PERMIT <br />, ,.,,,tr. .,: <br />� _ :��j�;! <br />` � ''�;�1, . $ <br />�,��`.�,`.�:>�:., ,� . <br /> '�'r � ` (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE /� <br /> � F' $ ��CJ <br /> ,; :. . . (A) TO E� DFTERMINED BY BLDG. INSPE�TOR <br />� �%,:''�` INCH <br /> ` (B) EXIST. WATER SERVI�E.APPLICATION NO.�_ <br />�' t t� . (7) STATUS OF SEWER CHARGES: <br /> .r: �, �i <br /> i �;;�y�tiy;�. BOND DISTRICT <br />; ,e-:,;,,;> .; -__FOOTAGE <br /> f '�i���-'.:e�� � N� S. E. W <br /> =�.� �;:: <br />� ,•��z,.r.A:i':; <br />' " ' SYSTEMS DEVELOPMENT <br /> ,r,�;'s;i. WATER �D L <br /> SEWER <br /> TOTAL ORD. FEE L , j <br /> SF.WER CONNECTION CHARGES <br /> YEAR____TRUNK g <br /> LATERAL - <br /> TOTAL CONtvECTiON CHARGES � <br /> $ <br /> SEWER PERMIT FEE $ �� <br />, / i/ � = � <br /> l �_; <br />