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l <br />� <br /> i <br /> F�JR OFFICE USE ONLY <br />� <br />� <br /> ADDRESS__.__. <br />� (1) BUILDING PERMIT F EF g _ <br />��� (A) PLAN CHECK FF_E <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PFRM�� <br /> 5; <br /> (6) WATER SERVICE TO BE PAID PRIOH TO BUILDING PERMIT ISSUANCE $ �r,5- <br /> (A) 1"O BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.AP"LICATION NO. _ <br /> (7) STATUS OF SEWER CHARGES: I <br /> BOND DISTRICT FOOTAG[ <br /> N, S, E, W <br /> SYSIEMS DEVELOPMENT <br /> WATER ��Z <br /> SE�NER <br /> TOTAL ORD. FFE � �� <br /> SEWER CONNECTION CHARGES <br />� YEAR TRUNK $ - ' <br /> LATERAL �� ' <br /> TOTAL CONNECTION CHARGES $ _ <br /> SEWER PERMIT FEE $ �� <br /> �l�l � � l <br /> -- � <br />