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FOR OFFICE USE ONLY <br />ADDRESS x-/ - <br />(I) BJILDING PERM FEE -- <br />(A) PLAN CHECK E ----- <br />(2) PLUMBING - <br />(7) MECHANICAL <br />(4) STATE SURCHARGES - - <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />/SUANCE <br />(6) WATER SERVICE TO BE PAID PRIOR BUILDI(A) TO DE DETERMINED DV BLDO. INS CTOR �p y�i.;'(B) EXIST. WATER SERVICE. PPLI(7) STATUS OF SEWER CHARGES:BOND OISiRICT <br />VS7EM VELOPMENT 4� <br />WAT R <br />SE ER <br />T TAIL ORD. E <br />CONNEC710N C RGES <br />iR NK S <br />'AL <br />CONNEC LION CHARGES f <br />SEWER PERMIT FEE <br />0 <br />0 <br />