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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS— <br /> (t) BUIIDING PERMIT FEE s <br /> (A) PLAW CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> ^, � • . <br /> (B) ENEFGY CODE , . <br /> (5) DRIVEV�AYPERMIT � ••� t• t.�' .•i;�'. .. �, � ' �� � y,' '•�' . <br /> : . . �•1': 5�� . � , . , .. , ., . . ,� . • �$ i � 't ` <br /> . . � . .i ' . . �. . �.� �� � . • t• ��• l: <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE E <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.AFPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES � ^ � . <br /> EOND DISTRICT �� FOOTAGE ' ' � � - i <br /> N. S. E. W � <br /> , • ' '�� � :� ' \SYSTEMS DEVELOPMENT <br /> . • • �,WATER � <br /> SEEWER / <br /> TOTAL ORD.�EE <br /> SEWER CONNECTION CHARGES <br /> � <br /> YEAR_ _TRUNK 3 <br /> LATERAL j <br /> TOTALCONh�CTIONCHARGES F <br /> ( <br /> SEWE%PEiHMIT FEE �` f <br /> i <br /> ; � <br /> � <br /> ,� <br /> � . <br />