appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
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DOMESTIC WATER, SEWER, RECYCLED WATER<br />
BOND WORKSHEET<br />
DEVELOPMENT ADDRESS: ____________________________________<br />
CITY:___________________________ TRACT(S): ___________________<br />
DATE: _______________________________________________<br />
DEVELOPER: __________________________________________________<br />
DOMESTIC WATER<br />
ITEM QUANTITY UNIT COST<br />
($/unit)<br />
8” PVC LF<br />
12”PVC LF<br />
8” DIP LF<br />
12” DIP LF<br />
16” DIP LF<br />
8” VALVE EA<br />
12” VALVE EA<br />
16” VALVE EA<br />
8” HOT TAP EA<br />
12” HOT TAP EA<br />
16” HOT TAP EA<br />
B.O VALVE – 4” W EA<br />
B.O VALVE – 8” W EA<br />
B.O VALVE – 12” W EA<br />
B.O. VALVE – 16”W EA<br />
A.R. VALVE – 8” W EA<br />
A.R. VALVE – 12” W EA<br />
A.R. VALVE – 16” W EA<br />
FIRE HYDRANT EA<br />
4” DETECTOR CHECK EA<br />
6” DETECTOR CHECK EA<br />
8” DETECTOR CHECK EA<br />
10” DETECTOR CHECK EA<br />
RESIDENTIAL SERVICE EA<br />
COMMERCIAL SERVICE<br />
1-1/2” METER EA<br />
2” METER EA<br />
3” COMPOUND METER EA<br />
4” COMPOUND METER EA<br />
IRRIGATION SERVICE<br />
1-1/2” IRRIGATION SVC EA<br />
2” IRRIGATION SVC EA<br />
TOTAL<br />
Estimate to be prepared by Developer’s Engineer.<br />
Add lines as needed to cover the full scope of work.<br />
TOTAL COST<br />
(Dollars)<br />
DOMESTIC WATER BOND AMOUNT (Round up to nearest $1,000): _____________
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