HomeMy WebLinkAboutWater Meter App.CITY OF LA PORTE
RESIDENTIAL
APPLICATION FOR UTILITY SERVICE(S)
PERSON MAKING REQUEST:
E-MAIL: IVEN ID(a-po2J+E
STREET ADDRESS (WHERE W/S IS
LEGAL DESCRIPTION:
KENNK\R7 A-NEAIS PH# 28j-y70-6110
Or' tie
HCAD (PARCEL #): tse� 13o c1� �Iard 0� # 114y 3j 01e D00a
REASON FOR REQUEST:
SIZE OF WATER TAP METER NEEDED:—2 I/
SEWER TAP - $290.00 (4" TAP* ONLY)
*MINIMUM SIZE TAPS AS PER P. I. C. M. SANITARY SEWER DESIGN REQUIREMENTS, CHAPTER 4, SECTION 4.03-G.
SEWER INSPECTION FEE $ 10.00
TOTAL WATER & SEWER CHARGES $
*NOTE: FOR LARGER TAPS CONTACT WATER/SEWER SUPERINTENDENT. IN ADDITION TO THE PAYMENT OF WATER OR
SEWER TAP & METER FEE, APPLICANT WILL BE REQUIRED TO APPLY FOR WATER SERVICE THROUGH OUR UTILITY
BILLING DEPARTMENT. (APPLICATION AND UTILITY DEPOSIT FEE WILL BE REQUIRED) PLEASE CONTACT UTILITY
BILLING @ 281-470-1403 FOR APPLICABLE FEE.
X/A 'PAtmayd,ux 8/ 20/2o2o
�
SIB URE OF PERSON MAKING REQUEST DATE
E
TAP & METER
METER ONLY
%" $388.00
$ 388.00
1" $800.00
$ 450.00
1 %2" $1200.00
$ 600.00
2" $2400.00
$ 1700.00
OFFICE USE ONLY:
WATER ACCOUNT SET- UP REQUIRED FOR THIS REQUEST
APPROVED BY:
CLERK'S INITIALS:
WORK ORDER NUMBER:
❑ YES ❑ NO
DATE:
RECEIPT NUMBER (S):
DATE:
S:\CPShare\INSPECTIONDIVISIONUnspections\Water & Sewer Tie on residential.doc 6.25.19
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