Permit - 1294853 - Laserfiche WebLink

Home Browse Search

Zonm~ w~da~o?:^ ,~ I s~oo~=.4:~o~,m Fho.~ SSS-m? I~lO~ CO~' ",' L LOCATION OF INSTALLATION ,,.m,t-q Phone 3. FEES Site F, valuation. Single Family Dwelling. first lot ........................................... : ............................................................. $325.00 Site Evaluation. Single FarniIy Dwelling. ea ~1 lot ...................................................................................................... ~0.00 Construction Permit or Commercial Major Repair, first 1000 gallons: $1andarfl Sys~m ................................................................................................................................. 387.00 Ae~D~e Sysmm .................................................................................................................................. ~3,00 Cappi~ ~ill ~ys em ............................ : ........... : ................. ..598 00 Cesspool ....................................................................................... ............................. ...................... 5..387,00 Evapo~anspiration-Abso~tlon Sys~m ............................... .............................................................. 223.00 Gray Water Dis~sal Sump ............ ~ ................................................................................................. 19i00 Holding Ta~ (Commemial ~nly) ............... ................................ ........................... 387.~ Pmssu~ Dis~butioa System ............................................................................................................. 555.~ Redund~t System ............................................................................................................................ J87,00 Sand Filer System ............... : .......................................................... , .................................................. 708.00 Seepage PR ............ Seep~e Trench .................................................................................................................................. ~00 TiIe ~w~te~ng Sysmm ......................................................h;~'7 ......................................................... 555.00 Cons~cgon pe~it or Commercial Major Rep~r, over 1~0 gallons: Co~ial Plan Review 6~ g~lons - 1~ 8allom ............................................................................................................... 133.00 i000 gallons - 50~ gallons .................................................. ~ ........................................ %~ ................. 133,00 Commeralal Minor RepOt ............................................................................................... ~ ............................................... i78.00 Single F~i[y Dw~Ifi~g, Single F~ily Dwelling, Majo~ Reps t (dminfi6 d) ......................... ; ........................................................ 215.00 Al~rafions .......................................................................................................................................... Permit Renewal, Fi~l~ Visit ............................................................................................................... 232,00 Pe~it ~n~wal, No Field V~it ............................................. 2 ........................................................... 1~.~ A~thofization, Field Visit ................................................... a.: ........................................................... 252.00 ~ist]ng Sya~m Eval~agon,~ ......................................................................................................... ~2,00 Annual Evaluat ~A mmafi~ Sysim ................... : ......... ,,.;,, ........................................................... ~2,~0 Aannal Evaluafio~ T~mpor~shi~ Mobile Home......,,. ........................................................... 188.00 Annual E~ aluafion, ~g~ Sy~lem ..................................................................................................... 128,~ Pump or Dosing Si~h0n ....................................................... ,. .............................. ................................. 25.00 Pumper'l~ek lasp~c~on. Fi~t V~icle ............................................................... ~ .......................................................... 102,00 S~pti~ Ralnspection Fee ..................................................................................................................................................... 25.00 S~pti~ Inspection for which no fa~ ia s~cifically indicated .............................................................................................. 40,00~r Namc of Applicant (Please Print): ,J/}~t,J + $100/500 gallons + $25/500 gafio~ + $25/500 gallons , Date: -- (:~/'/~1 ~'- __ Tank Pumped; m~* ~mping Codification Attach*d: (Y) tN)