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BUILDING ~ MOBILE HOME <br /> <br />Phone; <br /> <br />Heigh~ of Suilding: NO. Stories: [ Sq. FL Main Floor; Sq. Ft. 2nd Floor: <br /> <br /> Proposed Septic Insta~lalJ~'~:, <br /> R~vieee Site Evaluation/,~, <br /> Type o~ System: <br /> T. St H~ Needy: .................... <br /> <br />~ER PERM~S REQUIREO BY THIS OEP[: P~UBING~ MECHANICAL E~AL <br /> <br />Use of Suilding; J RES ~ <br /> <br />~aq. FL Gar'age: Other: <br /> <br />C~.~pant L03Ci: 'J 'ware; Supply:' " <br /> C <br /> glLe,ee: ,_ / <br /> <br /> Bldg. ~-ee; <br /> <br />MObile Home Fee: <br /> <br />Fleet Surch~ge: <br /> <br />ZonLqg Surcharge: <br /> <br />:State 8uroharge; .... <br /> <br />Plans Cheok Fee; <br /> <br />Site EvaJuation Fee: <br />~pli~ Permit Fee: Y~,~'- <br />DI~Q Sum~arge: ~/'~[ <br /> <br />Technical Rev~,v Fee: ..... <br /> <br />Reinspection Fee; <br /> <br />Invest~jatlo~ Fee: <br /> <br />City Fee: <br /> <br />TOTAL FEE: <br /> <br /> <br />