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q '. ♦ <br /> Public IR/orks Reviewer to Ca/cu/ate and Fill Out All Information Below: Permit#: B1511-033 <br /> FIRE SPRINKLER REQUIRED? (bv Fire Department/Code) <br /> ❑ YES —Type ,Reason <br /> Cl 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 /> �NQ <br /> Ex U Permit # <br /> Explanation: <br /> SEWER FEE? <br /> ❑ YES —Amount $ <br /> ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ,�f NO <br /> Ex U Permit # <br /> Explanation: <br /> SYSTEM DEVELOPMENT FEE? <br /> �J NO — 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 11/02/20i5 <br /> � <br /> &',,/]�� i <br /> � ..+' <br /> `o�.... <br />