Laserfiche WebLink
40WIN, TY PUSLIC NOALTN SERVIC98 <br /> TTAI LTN DIVISIONQRAR -194 sIOET <br /> F FACILITY SITE NAME FACILI Y TCT <br /> C <br /> I FACILITAD RES; IT D with AREA E <br /> I T <br /> TT CITY ETA E ZI aF of TANKI <br /> at SITE <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE D WITH AREA CODE <br /> A <br /> clTr y S - <br /> TA E P T1fPE of t� f <br /> CLOS4IRif„� , etc / <br /> A TOTAL <br /> T 1986 <br /> ANNUAL FACILITY PEE (Prior to J 1941) o SI 1 T 1 1969 <br /> 1 <br /> s <br /> E TANK FEE * SS0.00/T , (Pri;r tai,j., .. y 1.I 71)•.77 �,�� � � 6A jiwAry t, 1944) <br /> F # TauNcaa s 1"6 1ST 11N38 '1 34 1440 1992 1943 19% 1445 19M <br /> A (muttipty feA f <br /> each year app icatbte 8 <br /> I STATE C .00 each TANK,,( :. ), _ ,. Crani iar 0 i S , , tlon 25287 <br /> T 0 T s X SWOO 1 1khi. 1 1941 thr 1996 <br /> Y (enter E W44177-777 777 7-77 000" <br /> 8 <br /> PERMANENT CL (R s1 or Authorised Ct t-10-pl e) *AiK I.D. +Ks) <br /> C <br /> L CLOSURE FEE s $53.00 per h (3 hours mfnIum pert ) 0 T (s) X 8159.00 $ <br /> S <br /> R TEMPORARY CL (A ti permit, ,rgvi i ti ) T I.D. #(s) <br /> E TEMPORARY 40SIM FEE v $150.00 e 0 TAMKW X $150.00 $ <br /> L an Revi t tI', I , ti ).,, T 1.0 <br /> P PLAN CHECK (tr�t9tt. Pt <br /> A <br /> N PLAN CHECK FEE * $53.00 per h (8 M s mint r• FOCI tity) 8424.00 aini s <br /> R REPAIR FEE ( rkptin i A c t , tion I ti ) TAN9 I.D. We <br /> E <br /> A TANK REPAIR FEE w $53.0 per h... (3 * rulnl T (e))_°��;, rt,N T ' X 5159.00 s 3 <br /> I <br /> R PIPING REPAIR FEE $53.00 per hoar (3 hoar pinfiLw per facltity • $159.00) S <br /> [ TRANSFER FEE . I REL EV TIAN #53.00(hr 8 <br /> S <br /> C CONSULTATION FEE s $53.00/hr ISKCTION FEE • 553. /hr S <br /> TOTAL DUE S <br /> t <br /> ON 23 032 (REV 4/8/41) ft . , , <br />