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. FOR OF�ICE USE ONLY <br />��' , ' � � ' � � .. � • .. . . :' ' ,� �L•� - • .. , . � . . , <br />ADDRESS_ „ , <br />(1) BUILDING PERMIT FEE , , . g <br />, FA) PL/�N �HECK FEE .�� <br />• ., �. <br />(2) PLUMBING � ' ' � � ' , . . : � , . ' � . . . <br />(3) MECHANICAL ' ' <br />(4� STATE SURCHARGES <br />(A) f3UILDING CODE ' <br />(B) ENER(�Y CODE � • ' �- <br />(5) ! AIVEWA'+' FERMIT <br />. ' . . � . . • • ' , . • $ • ' i ' t . � <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUIIDING PERMIT ISSUANCE $ /O `. : <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES; � � <br />BOND DISTRICT FOOTAGE_ <br />N, S. E. W <br />SYSTEMS D�VELOPMENT <br />WATER <br />SEWER <br />TOTAL ORO. FEE /��`�� <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK $ ��-'-� � <br />LATERAL . � <br />TOTAL CONNECTION CHARGES $ _ ' <br />SEWER PERMIT FEE $ �v <br />