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UST-BILLING/PERMIT 2/19/2015
CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO. CONTRACTOR NAME IPr�m,5 1�- �c t $ U°rj 5C� t ��-a 3b 201 2 FAX No. CONTRACTOR COMPANY NAME S� ADDRESS CITY AIt Hermits must be revielwed. stamped, ,and approved PRIOR TO BEGINNING WORK ON THAT P'l� ®�iECT�` rem � ❑ Alarms - New & Modifications - (Minimum Charge) $280.00 98 Over 10,000 Sq. Ft. Sq Ft, x ,028 - Permit fee ■ ■ 84 ❑ 98 ❑ Sprinklers - New & Modifications - (Minimum Charge) Over 10,000 Sq. Ft. Minor Sprinkler Modifications (< 10 heads) Commercial Hoods — New & Modifications Additional Hoods Spray Booths - New & Modifications Aboveground Storage Tanks QnstallatioNlnsp. -l" Time) Additional Tanks Aboveground Storage Tanks (RemovaNnspection) Underground Storage Tanks (Installation. /Inspection) .. _. g 9 ) Under round Storage Tanks (Modification Underground Storage Tanks (Minor Modification) Underground Storage Tanks (Removal) $280.00 ■ ■ 98 S Ft. x .028 = Permit fee 9 $ 96.00 [Inspection Only] $ 470.00 ■ ■ ■ ■ ■ ■ ■ 84 ❑ 98 S4, ❑ ❑ 98 84 98 $ 58.00 ■ ■ 84 ❑ 98. $470.00 ■ ■ "84 0 98 $180.00 $ 96.00 $109.00 $8 78.00 (per tank) $878:00 (per site) $167.00 $573.00 (per tank) ■ ■ ■ ' ■ AL ■ . 82 82 82 82 84 ❑ ❑ • • _0 ❑ ❑ $ 96.00 ■ ; ❑ Oilwell (Installation) $'$8 -ts- 1 c, . - - $ 96.00 (per tent) ■ ■ ■ 82 Mandated Leak Detection (Testing) / Fuel Monit.Ce SOB Note: $96.00 for each type of test/ per site (even if sch ed at the same time) Tents • $ 96.00 + (5 hrs. min. standby fee /Inspection)--$576-00 $121.00 ' 84 • Pyrotechnic - (Per event, Plus insp. Fee @ $96 per hour) ❑ After hours inspection fee 11 RE- INSPECTION(S) /FOLLOW-UP INSPECTIONS) Portable LPG (Propane): NO. OF CAGES? $ 96.00 (per hour) $ 96.00 ■ ■ $4 84 11 $266.00 250 per page ■ i FD 2021 (Rev. 84, 84 84 06/0- . ❑ 0 ❑ Explosive Storage Copying & File Research (File Research Fee $50.00 per hr) Miscellaneous 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)