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<br />e <br /> <br />CITY OF LA PORTE <br />RESIDENTIAL FEES <br />PETITION TO TIE-ON TO EXISITING <br />WATER AND SEWER MAINS <br /> <br />e <br /> <br />PERSON MAKING REQUEST: <br />STREET ADDRESS (WHERE W/S IS NEEDED): <br /> <br />PH# <br /> <br />LEGAL DESCRIPTION: 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 10,000 SQUARE FEET MAXIMUM PER DWELLING UNIT). <br /> <br />WATER CONNECTION FEES - $6.12 PER 100 SQ. FT. $ <br />WATER TAP - $184.00 (5/8-3/4" TAP* ONLY) $ <br />TOTAL WATER CHARGES $ <br />SEWER CONNECTION FEES - $9.42 PER 100 SQ. FT.) $ <br /> <br />SEWER TAP - $250.00 <br /> <br />(4" T AP* ONLY) <br /> <br />$ <br />$ <br /> <br />5.75 <br /> <br />SEWER INSPECTION FEE <br /> <br />TOTAL SEWER CHARGES $ <br /> <br />( ) FOR LIVESTOCK USE ONLY - WATER FRONT FOOT FEES NOT APPLICABLE AT THIS TIME. <br />*MINIMUM SIZE TAPS <br /> <br />NOTE: <br /> <br />FOR LARGER TAPS CONTACT WATER/SEWER SUPERINTENDENT. <br /> <br />DATE OF PAYMENT: <br /> <br />RECEIPT NUMBER: <br /> <br />CLERK'S INITIALS: <br /> <br />WORK ORDER NUMBER: <br /> <br />S:\CPShare\INSPECTION DMSION\Inspections\Water & Sewer tie on Res 1-04.doc <br />