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Public Works Reviewer to ' u/ate and Fill Out All Information LIU]6 w: Permit#: B1512-001 <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> ❑ YES —Type Reason <br /> ❑ NO <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEE? <br /> ❑ YES —Amount $ <br /> ❑ Meter Only, ❑ Complete Service, Type/Size <br /> J <br /> NO <br /> Ex U Permit # <br /> Explanation: <br /> SEWER FEE? <br /> ❑ YES —Amount $ <br /> ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ONO <br /> Ex U Permit # <br /> Explanation: <br /> SYSTEM DEVELOPMENT FEE? <br /> XNO — No Change of Use / Other <br /> ❑ YES —Amount $ ❑ See Attached Spreadsheet <br /> Explanation: <br /> (Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑ YES —Amount $ ❑ See Attached Spreadsheet <br /> No <br /> Public Works Reviewer Signature Date <br /> REVISED 11/0212015 <br /> 2 Z <br />