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<br />e <br /> <br />. <br /> <br />CITY OF LA PORTE <br />COMMERCIAUINDUSTRIAL <br />APPLICATION FOR UTILITY SERVICE(S) <br />(OVER 2.5 AC.) <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 OVER 108,900 SQ. FT. TO USE TIDS FORM. <br /> <br />SQ. FT. ** <br /> <br />WATER DEVELOPMENT FEE - $17.77 PER LINEAR FOOT $ <br /> <br />WATER TAP - $388.00 (5/8-3/4" TAP* ONLY) $ <br /> TOTAL WATER CHARGES $ <br />SEWER DEVELOPMENT FEE- $41.13 PER UNEAR FOOT $ <br />SEWER TAP - $290.00 (4" T AP*) $ <br />SEWER INSPECTION FEE $ 25.00 <br /> TOTAL SEWER CHARGES $ <br /> TOTAL WATER & SEWER CHARGES $ <br /> <br />X <br />SIGNATURE OF PERSON MAKING REQUEST <br />( ) FOR LIVESTOCK USE ONLY - WATER FRONT FOOT FEES NOT APPLICABLE AT TIDS TIME. <br />*MlNIMUM 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:\CPSbare\INSPECTION DIVlSION\Inspections\WateT & Sewer tie on com doc <br />