Laserfiche WebLink
<br />e <br /> <br />. <br /> <br />CITY OF LA PORTE <br />RESIDENTIAL FEES <br />PETITION TO TIE-ON TO EXISITING <br />WATER AND SEWER MAINS <br /> <br />PERSON MAKING REQUEST: <br />STREET ADDRESS (WHERE W/S IS NEEDED): <br /> <br />LEGAL DESCRlPTION: BLK: <br /> <br />LT: <br /> <br />SUBD: <br /> <br />PROPERTY SIZE:* ( , ') X ( ') = SO. FT. <br />( * ON LARGE TRACTS, AREA DESIGNATED SHOULD INCLUDE REQUIRED SETBACKS- <br />CHARGES WILL BE LIMITED TO i 0,000 SQUARE FEET MAXIMUM PER DWELLING UNIT). <br /> <br />, , <br />WATER CONNECTION FEES - $4.60 PER 100 SQ. FT. $ <br />WATER TAP:" $184.00 (5/8-3/4" TAP* ONLY) $ <br />TOTAL WATER CfiAR.GES $ <br />SEWER CONNECTIO:t:l FEES - $6.10 PER 100 SQ. FT.) $ <br /> <br />SEWER TAP - $250.00 . (4" TAP~ ONLY) <br />SEWER INSPECTION FEE <br /> <br />, , 5.75', ' <br /> <br />TOTAL SEWER CHARGES , ,$ <br /> <br />TOTAL WATER & SEWER CHARGES $ <br /> <br />,X <br />SIGNATURE OF PERSO~ MAKING REQUEST <br /> <br />( ) FOR LIVESTOCK USE ONLY - WATER F~ONT FOOT FEES NOT APP~ICABLE AT THIS TIME. <br /> <br />*MINlMUM SIZE TAPS <br /> <br />NOTE: <br /> <br />FOR LARGER TAPS CONTACT WATER/SEWERSUPERlNTENDENT. <br /> <br />DATE, OF PAYMENT: <br />RECEIPT NUMBER: <br /> <br />CLERK'S INITIALS: <br /> <br />S:\CPShare\1NSPECTlON DlVTSION\lnspeclions\Water &: Sewer tie on Resl-04.doc <br /> <br />WORK ORDER NUMBER: <br />