See HRSD rate schedule link above for additional information on applicable facility charges. Project Submittal Application I, , certify that this office has received the site plans attached to this application for the referenced project and they are currently under review. Name: Position Title: Signature: Date: Jurisdiction: Department: Occupancy Statement of Intent I, , certify that a Certificate to Occupy the Premises of this project shall be issued to the applicant only when the HRSD Inspector has completed the inspection and signed the form as indicated in the Final Inspection Verification” section of this form. “HRSD Name: Position Title: Signature: Date: Jurisdiction: HRSD Facility Charges Remittance
See HRSD rate schedule link above for additional information on applicable facility charges. Project Submittal Application I, , certify that this office has received the site plans attached to this application for the referenced project and they are currently under review. Name: Position Title: Signature: Date: Jurisdiction: Department: Occupancy Statement of Intent I, , certify that a Certificate to Occupy the Premises of this project shall be issued to the applicant only when the HRSD Inspector has completed the inspection and signed the form as indicated in the “HRSD Final Inspection Verification” section of this form. Name: Position Title: Signature: Date: Jurisdiction: HRSD Facility Charges Remittance
20170503_SC_Subdivisions_Packet_2_ver3.docx