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� � <br /> FOR OFFICE 1JSE ONLY <br /> ADDRESS__ <br /> (1) BUILDING PERM1liIT FEE g <br /> (A) PLAN CHE:;K FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)�UILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEN!AY PERMIT <br /> $ <br /> (6) WATER SERVICE TO 8E PAID PRIOR TO BUILCING PERMIT�SSUAP!CE S �`�� <br /> (A) TO BE DETFRMINED BY BLDG.INSPECTOa_ ��� INCH <br /> (8) EXIST. WATER SEHVICE.APPLICATION NO._____ <br /> �L) �u_� /a�`��>m <br /> (7) STATUS OF SEWER CHARGES: <br /> 8(7ND DISTRICT _FOOTAGE <br /> N. S. E. VI <br /> � <br /> �i SY,�iTEMS DEVEi_O?MENT ) <br /> �I �G., WATER O��� <br /> 1 �S <br /> � SEWER __ s`"g'�� ' <br /> TOTAL ORD.FEE a�d d` <br /> SEWER CONN�CTION CHARGES <br /> YEAR_ _TRUNK $ � <br /> LATERAL <br /> TOTAL C ONNECTION CF�ARGES $ _ <br /> S�WER PERMIT FEE g �D <br /> i <br />