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<br />e <br /> <br />. <br /> <br />CITY OF LA PORTE <br />COMMERCIALlINDUSTRIAL <br />APPLICATION FOR UTILITY SER VICE(S) <br />(2.5 AC. & BELOW) <br /> <br />DR4J:r <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 ( ') = <br />* AREA DESIGNATED SHALL,INCLUDE REQUIRED SETBACKS. <br />**MUST BE AT OR BELOW 108,900 SQ. FT. TO USE THIS FORM. <br /> <br />SO. FT. ** <br /> <br />WATER DEVELOPMENT FEE - $8.42 PER 100 SQ. FT. $ <br />WATER TAP - $388.00 (5/8-3/4" TAP* ONLY) $ <br />TOTAL WATER CHARGES $ <br /> <br />SEWER DEVELOPMENT FEE - $15.10 PER 100 SQ. FT. $ <br /> <br />SEWER TAP- $290.00 <br /> <br />(4" T AP*) <br /> <br />$ <br /> <br />SEWER INSPECTION FEE <br /> <br />$ $25.00 <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 THIS TIME. <br /> <br />*MINIMUM SIZE TAPS - NOTE: 6" IS $315.00 <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\lnspectioDS\ Water ell: Sewer app1.com 7lOS.doc <br />