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FOR OFFICE USE ONLY <br /> ADDRESS-------- <br /> (1) <br /> DDRESS. _ ___(1) BUILDING PERMIT FEE f <br /> (A) PLAN CHECK FEE <br /> (2) PLUMPING <br /> (9) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE _ <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> f <br /> 7 � <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR_ INCH 50-10411 <br /> (B) EXIST._ WATER SERVICE.APPLICATION NO._ j �i3 <br /> (7) STATUS OF SEWER CHARGES: /, <br /> vR/GG22 <br /> BOND--DISTRICT- FOOTAGE_ <br /> N. S. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER _ <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK <br /> LATERAL <br /> TOTAL CONNECTION Cf- <br /> SEWER <br /> HSEWER PERMIT FEE f <br /> U 9967-6,o <br />