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_„� ^ <br /> FAR O�FICE USE ONLY <br /> ADDHESS <br /> (1) BUILDING PEPMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICP,L <br /> (4) STATE SUHCHARGES <br /> (A) BUILDING CODE <br /> (Ef) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PP.�D PRIOR TO DUILDING PERMIT ISSUANCE $ <br /> (Aj TO BE DETERMINED BY BLDG. INSPEGTOR INCH � /./ �Z%p��/� � <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. �� ��4o� ���� <br /> (7) STATUS OF SEWEfi CHAflGES: - / <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER Z <br /> SEWER _ p �y <br /> TOTAL ORD. FEE _ �Z 9lp <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ _ ��D _ <br /> LATERAL _ <br /> TOTAL CONNECTION CHARGES $ .�Q — <br /> SEWER PERMIT FEE $ _, /� l <br /> -��'` <br /> iZ7l� � 7 7_J 7_3 <br /> ��� <br />