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Sal*~, Oregon 5~7301 <br /> 8ffi0am4..~lpm PhOmt [~88~5147 <br /> <br /> 7 <br /> $~E EVALUA~ON A~mR SEmC ~IT ~PLICATION <br /> OF INSTALLATION ,,, ~ "' a,q ~-~[ <br /> <br />2. CONTribUTOR INFORMATION <br /> <br /> ~o. <br /> <br />3. FEES .... <br /> <br /> Site Evaluation. Single Family Dwelling, fi~ lot ......................................................................................................... <br /> Sire Evaluation, Singlo Family Dwelling, ea ~fll Iol ...................................................................................................... <br /> SitzEvi~luation, Com~miall~O.5OOOgall~ .......................................................................................................... 325.~ + $1~$~ g~ons ... <br /> <br /> C~m~tmclJ0n Permit or Commercial Major ~pair, first 1~ ~1o~: <br /> <br /> Aerobic Sy~mm .................................................................................................................................. 223,~ ~, <br /> Capping F~It System ........................................................................................................................... 598-~ <br /> Cesspool ...................................................................... ; ...................................................................... 387,00 <br /> ,. .............................................................................................................. <br /> om9 Wa~r Disposal Sum? .................................................. ; ............................................................ 195.00 <br /> lqoldlng T~k (Commercial only) ................................ <br /> <br /> gyst~m ............................................................................................................................. 387.~ <br /> Redundant <br /> gaad Filter System ............................................... ;.,....~ ..................................... <br /> Seept,8* ~aeh ............................................................ ; ................ : .................................................... $87.00 <br /> T~le ~wa~dng System ..................................................................................................................... 555.00 <br /> <br /> Single Family Dwelling, Mh~r Re~r (m~ only) ......................................................................................................... I~5.00 <br /> Single Family Dwelling. Major g*pak (~raiafi*ld) ........................................................................................................ 215.00 <br /> <br /> Alrarations .................................................................... ~ ..................................................................... 383.~ <br /> Pe~it Ronewal~ ~ie~g Visit........', .............................. <br /> PCm~it ~*wal. No ~eld V[slt ......................................................................................................... 120,00 <br /> Au[b~rization, ~[¢ifi Visit .................................................................................................................. ~2.~ <br /> Authorization. NO F~eld Visit ............................................................................................................ <br /> <br /> Annu~ ~valuafion Tem?or~s~p Mo~ HO~ .................................................................... 188.~ <br /> Pump oe ~s~ng Siphon ....................................................... ; ............................................................... ~.~ <br /> <br /> Pumper Trock nspeet~oa. EaAddRiO~al V~bi¢lO ............................................................................................................. 40.~ <br /> Septic ~einspeetkm F,e.,,, ........................ ~ ........................................................................................................................ ~.~ <br /> $ep6c Inspection lbl' Which no fao is ~pecifie~lly Indie~ ...................... <br /> <br /> Tank ~mp~: <br /> MC IS-gl Rev 1195 // Pureeing Certification Attac}~: (Y) (N) <br /> <br /> <br />