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Service Availability Charge <br /> <br />(SAC) <br /> <br />Commercial <br /> <br />Detail <br /> <br />MWCC 92C <br /> <br />PROJECT TYPE · <br /> [] New Building Only ~J~ Alteration (change in use ) <br /> [) Addition ~ Demolition with New Use <br /> ( AUach to Form MWCC 92A ) <br /> <br />[.] Demolition Declaration Only <br /> ( Attach to Form MWCC 92D ) <br /> <br />NEW USE · <br /> Proposed Occupant <br /> <br /> Site AddreSs <br /> B'ui~ding PermH No. ~ Date I~ued <br /> CALCU~TION OF SAC <br /> <br />Fill Out tollowinQ section <br /> <br />Use Quanliry <br /> <br />Retail <br />Office '~ D o <br />Warehouse <br /> <br />: Type of Bus~ness <br /> <br />Total Square Footage <br /> <br />Other <br /> <br />.sq.ft. ~ 3000 sq.fl. Per SAC = <br />sq.ft. @ 2400 sq.f't. Per SAC = <br />.sq.ft. @ 7000 sq.ft. Per SAC = <br /> <br />Determination Made by :.,4~f~.¢,._ W~} /~--~,/)//,~J) Date ' <br /> '/ ' <br /> <br />· PREVIOUS :.USE :: ::::: ! Fill:out followin~ ,,sec!ion )" - '.: - : ' <br /> <br />SAC UNITS <br /> <br />TOTAL CHA~GES <br /> <br />2. <br /> <br />On units) <br /> <br />Previous Occupant <br />Site Address <br /> <br /> Demolition Permit No. Demolition Date <br /> <br />"CALC0LATION OF SAC CREDITS · <br /> <br />Type of Business <br /> <br /> ,~n~,s previous use in existence prior to 1973 ? [} yes ~ no SAC UNITS <br /> Original Building Permit .No. Date issued <br /> otua SAC pa d for space invo ,ee; &ne):: Ent re = <br /> Additional SAC paid for space i~o~ed: Bldg. Pe~it No(s) Date(s) = <br /> TOTAL CREDITS = ( ) <br />tf yes, Use Ouanti~ f,n u~) <br /> <br />~ 1973 O~ / ~ /sq~ e 2400 sq~P~SAC = <br />%1973 Wareho~ / % / <br /> <br />~ , - / ~ · . <br /> <br /> ActualSACpaida~erlS73' Bldg. Pe~itNo(s)_ ~¢ Date(s) /0~¢ = <br /> Determination Made by' ~~¢ ~(/C~¢/ Date :~ ' /~TAL CRE6ITS <br /> 0n un~) <br /> <br /> N~ SAC UNITS = ¢ , <br /> <br />if ~ determination for this location was made by MWCC, <br /> please reference date of let~er or a,~ach copy. <br /> <br />NOTE: Determinations based on phone <br /> conversations are only estimates. <br /> <br /> [ 0.5 rounds up to whole number in units ) <br />If NET SAC UNITS is a CREDIT BALANCE, pie. ase <br />indicate how many will be reserved as... <br /> Site-specific ~ units of credit (Form 92RCR) <br />or taken as... <br /> <br />City-wide __ <br /> <br />units of credit (Form 92A), <br /> <br /> <br />