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<br />. <br /> <br />e <br /> <br />CITY OF LA PORTE <br />RESIDENTIAL <br />APPLICATION FOR UTn..ITY SERVICE(S) <br /> <br />DR4Fl <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 DEVELOPMENT FEE - $6.12 PER 100 SQ. FT. $ <br /> <br />WATER TAP - $388.00 (5/8-3/4" TAP* ONLY) $ <br /> <br />TOTAL WATER CHARGES <br /> <br />$ <br /> <br />SEWER DEVELOPMENT FEE :'''$9.42 PER 100' SQ: FTTS"." .,n. "_... <' . '" ... <br /> <br />SEWER TAP - $290.00 <br /> <br />(4" TAP* ONLY) <br /> <br />$ <br /> <br />SEWER INSPECTION FEE <br /> <br />$ <br /> <br />25.00 <br /> <br />TOTAL SEWER CHARGES $ <br /> <br />TOTAL WATER & SEWER CHARGES $ <br /> <br />X <br />SIGNATURE OF PERSON MAKING REQUEST <br /> <br />( ) FOR LIVESTOCK USE ONLY - WATER FRONT FOOT FEES NOT APPLICABLE AT TIllS TIME. <br /> <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:\CPSbare\INSPECTION DIVlSION\lnspeclions\Wat'er &; Sewer appl.res 7/0.s.doc <br />