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�� i <br /> � <br /> I FOR O�FICE USE ONLY <br /> ; <br />� ; <br /> ADDRESS � _ <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL _ <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> � (B) ENERGY CODE <br />' ;;.�,::; . :' <br /> '- • . (5) DRIVEWAY PERMIT <br />;"�•':`,;;; $ <br /> rr <br /> -h�.i�:�:. <br /> i ,.`,,`t;;. .. <br />� ?•r r:; (6) WATER SERVICE TO BE PAID PRIOR TO BUILDIN PERMIT IS UANCE � <br />; „'�;..:'.- (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> ;,�,..,,. <br />. ';'it;'. (B) EXIST. WATER SERVICE.APPLICA ION N . <br /> ;<< . , <br />; .',�;.;,; (7) STATUS OF SEWER CHARGES: , <br /> BOND DISTRICT FOO pE <br /> / N, S, E, W <br /> / <br /> SYSTEMS DEV OPMENT <br /> WATE � <br /> I, SEWF� <br /> TOTA�L ORD. FEC� <br /> \, <br /> '� <br /> SEWER C NNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATER <br /> TOTAL ONNECTION CHARGES , $ <br /> SEW�R PERMIT FEE $ <br />