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COMMUNITY DEVELOPMENT CENTER <br />IR~eived By: 3150 Lancaster Dr. NE - Suite C <br /> 8:00~m,.4:30pm Phone 588-5147 <br /> <br />SITE EVALUATION~AND/OR SEPTIC PERMIT APPLICATION <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />Mailing Address Phon~ No. <br />Mailing Address Phone No. <br />Mailing Address I~none No. <br /> <br />Site Evaluation, Commercial 1000 - 5000 ga~ons .................................................................................... 320,00 + $90/500/gal <br />Constzuedon Permit ~l' Commercial Major Repair, frrst 1000 gallons: <br /> Capping Fill System ........................................................................................................................... 593.00 <br /> Evapotranspirafion-Absorption System ............................................................................................. 218.00 <br /> <br /> Tile Dewatering System ..................................................................................................................... 550.00 <br /> <br />600 gallons - 1000 gallons ............................................................................................................... 133.00 <br />1000 gallons - 2500 gallons ............................................................................................................... 133.00 <br />Commercial Minor Repair ............................................................................................................................................... 173.00 <br /> <br />Residential or Commercial: <br /> <br />+ $100/500 gallons <br /> <br />+ $251500 gallons <br />+ $251500 gallons <br /> <br />Name of Applieaat (Please Pcint~/)/~ <br /> <br />Tes~ Holes Ready: <br /> <br />Tank hanped: <br /> <br />Pumping Certification Attached: (Y) (N) <br /> <br /> <br />