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05/23/17 07:39 OLSONCONSTRUCTION 9524485289 p.04 <br /> SEWER&WATER PERMIT <br /> IN HOUSE FORM-TO HELP DETERMINE SAC UNITS <br /> �"U1t CTT'Y US�ONLY <br /> t*Ptease Key'this in�arma6on On Co�nment Line Of Fermit*)- <br /> Date Completed: #Of SA�tlnits Campleted By:,_; <br /> ❑ *SAC Previously Paid- Permit# ; Date of PermiE <br /> *Charge i SAC Unit Fer�^Tome <br /> *Tf MuTtipie Homes Or Units-May'Need To Aay Additional SAC Charges <br /> [� �SAC Gr�ndCathered tn— �ermit# Date ot Permit <br /> *Must have hxd Hook Up 8c Hame Prior To January'1,19'i3 '` <br /> '"Tiefer ta Helpful Hint SheeYs,Or Ask If Neeessary <br /> #[f Multiple Units-May Neetf To Pay t4dditional SAC Charges <br /> ❑ *Commercial�- Permit#Acrounted For Date of Rermit <br /> [} •Leitcr From Met C,,ounci!—5howing Usc'-Ur Additionai Units Needed» <br /> *Contact dodi at(65 i j 602-1113;Tc�Qbtain i,etter(Usuaily Building t�tTicial Obtains) <br /> '�Copies To:Lyle,Sue�t�'ile L��ne On Capy Of Permit�or Reportin� <br /> *Tf unablo to dctermine;will have ta waiti W be issued uniil determination can be made <br /> [] SEPTIC Area- **#WATCH FOR THES�CONNECI'I(3NS*�'* <br /> *Person`Will Hawe�"n Pay Connectio��ces:&Assessments-�-SAC Charge� <br /> *itefer To Cwrent Year Fee Sehedule! Don't Release Untii�ees Are.PAill! <br /> `(Ask for Seou or T.in's H�lp With 1'hese) <br /> *Will Need Approvai From Pub(ic'Works�Scott} <br /> [] Speciai Crrinder Pnmp Needed <br /> *13ave Them Ta3�c Ta SCotG For QuesCions&'Pricing <br /> '''Give T6em Speciai Hand Outs!(In llrawcr With Se'�er Pcrmiy <br /> ❑ Permit Needs 1#pproval From Public Warks: : Approved By: <br /> �`3icle note,�onnectioii Perunits--Cover Septic Tnnk Abandonment Also,Per Ly1e <br />