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FOR OFFICE USE ONLY <br />ADDRESS _ <br />(1) <br />BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) <br />PLUMBING <br />(3) <br />MECHANICAL <br />(A) <br />STATE SURCHARGES <br />(P) BUILDING CODE <br />(B) -NERGY CODE <br />DRIVEWAY PERMIT <br />(6) WATER SERVICE rO BE PAID PRIOR TO <br />(A) TO BE DETERMINED BY BLDG. INSPI <br />(B) EXIST. ---WATER SERVICE <br />(7) STATUS OF SEWER CHARGES. <br />BOND_. __DISTRICT' ____ <br />NG PERMIT I <br />CATION NO. <br />FOOTAGE <br />DE\XLOPMENT <br />FEE <br />SEWER ONNECTION <br />YEAR <br />7T AL CONNECTION CHARG <br />SEWER PERMIT FEE <br />S <br />E S <br />INCH <br />w <br />