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Public Wision 25 West MainAub Utility Permit Application Permit TProject Information: Site AddressParcel No. or Legal tion: (requireProperty Own Projec Contractor: Phone No.: Address:
pplication Existing Meter Box? (CircYes or No of Units: Domese: Deduct Meter Size: nection ReStorm Application Type of Use (Circle)New Consn pair Total Nea (SF) ___Area to be DistuDomestic
Water Meter Permit Fee: nty Inspection Fee: Fee: Permit Fee: Assessment (_______FF*$_______) Paybacks: Total WateSewer Permit Fee: SDC (______RCE * $850): County Inspec_______) Paybacks:
Storm Permit Fee: Level: 1 2