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� -t <br />F�R OFFICE USE aNLY <br />ADDRESS _ <br />(1) BUILDINO PERMIT FEF <br />(A) PLAN CHECK FEE <br />(2) LUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(E) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />!A) TC� BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) E; IST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE_ <br />N, S, E, W <br />SYSTtMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAR�ES <br />SEWER PERMIT FEE <br />$ <br />/ ! <br />! <br />/291�> <br />