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 - ' · I 285 Churca Sr ~E · ~oom 132 ' : <br /> Recetved By <br /> <br />[Zoning V~idation: <br /> <br /> SITE EVALUATION A~/OR SEPTIC PERMIT APPLICATION <br /> I. LOCATION' OP INSTALLA~ON <br /> <br />2. CONTRACTOR INFOR/~ATION <br />Property Owner <br /> <br />FEES <br /> <br />DN <br /> <br /> Sile l~valua6on, Commercial, first I0~3 gallons ............................................................................................................. <br /> <br /> gt~d~ .qstem ............................................................................................................................. <br /> Aeo~b~ aystem .................................................................................................................................. 223,~ <br /> Cappa~g Fill Sy~ ......................................................................................................................... <br /> <br /> ~va~ ca~$plrat[~-Abso¢~on Sys~m ............................................................................................. 223,~ <br /> Gray Water ~is~oaal ~ump ............................................................................................................... <br /> Rol~g T~ (Commercial only) .................................................................................................... <br /> <br /> 8~d Fil~r Syslem ........................................................................................................................... 708.00 <br /> S~pa~ Pit ........................................................................................................................................ g17,~ <br /> <br /> hI=~ enng Sy$mm ................................................................................................................. ¢~. <br /> Concretion ~it or Co~e~ial Major Repair, over 1~ gallons: <br /> Con~m~c~0n Permit <br /> <br /> 1~ gallons - ~ gallon~ ............................. <br /> <br /> Single Fa~ly Dwelling Mi~or R*p~r (~ only) ...................................................................................................... 135.~ <br /> g~gt~ F~Iy Dwelling, Major Rep~e (~nfieM) ........................................................................................................ 2 5.~ <br /> <br /> ~idenflal or <br /> Algrafioos ..................................................................... 2[ ................................................... ~ ............ 383.~ <br /> Pe~ii Renewal, ~iald Visit ............................................................................................................. <br /> <br /> A~tho~za~on, No Fiol~ Vi~it ................................. <br /> <br /> Se mc Rgla~¢~fion Fee ....................................................................... <br />~_~PJ~5 ins~ti~ f~qyhicb no fee i~ ~eiticaH~ in~cat~ 40,~mr <br /> <br />+ $100/500 gallons <br /> <br />Test Hole:', Rea0y: <br />Tank Pu mtn0; ........... <br /> <br />ched:(Y) <br /> <br />TOTAL. P. t~5 <br /> <br /> <br />