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<br />e <br /> <br />e <br /> <br />CITY OF ,LA PORTE <br />COMMERCIAL <br />PETITION TO TIE-ON TO EXISTING <br />WATER AND,SEWER MAINS <br /> <br />PERSON K~XING REQUEST: PHONE: <br />STREET ADDRESS' (WHERE W/S IS NEEDED): <br />LEGAL DESCRIPTION OF PROPERTY: <br />PROPERTY SIZE*: ( I) X ( , ) = SO. FT. <br />(* ON LARGER TRACTS, AREA DESIGNATED SHOULD INCLUDE REQUIRED SETBACKS) <br /> <br />=========================================================================== <br /> <br />FEES <br /> <br />WATER CONNECTION FEES - $7.30 PER 100 SQ. FT. $ <br />WATER TAP - $184.00 (5/8-3/411 TAP* ONLY) $ <br />TOTAL WATER CHARGES $ <br />SEWER CONNECTION FEES - $7.00 PER 100 SQ. 'FT. $ <br /> <br />SEWER TAP - $250.00 (411 TAP* ONLY) <br />SEWER INSPECTION FEE <br /> <br />$ <br />$ <br /> <br />5.75 <br /> <br />TOTAL SEWER CHARGES $ <br /> <br />TOTAL WATER & 'SEWER CHARGES $ <br /> <br />X <br />SIGNATURE OF PERSON ~~ING REQUEST <br /> <br />( ) FOR LIVESTOCK USE ONLY - WATER FRONT FOOT FEES ~OT APPLICABLE, AT THIS <br />TIME <br /> <br />* MINUruM SIZE TAPS ..:. NOTE: 6" 'IS $300.00 <br /> <br />NOTE: <br /> <br />FOR LARGER TAPS CONTACT WATER/SEWER SUPERINTENDENT <br />DATE OF PAYMENT: <br /> <br />RECEIPT 'NUMBER: <br /> <br />CLER.~'S INITIALS: <br /> <br />WORK ORDER NUMBER: <br /> <br />PE~ ORDINANCE NO. 759-F' <br />INSP./Oa-'95 <br /> <br />Dept. Forms/a:commws.fee <br />