appendix 1 residential connection form and permit application

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MARINA COAST WATER DISTRICT 11 Reservation Road Marina, CA 93933 (831) 384-6131 PERMIT APPLICATION Date Issued Street Address APN Owner Phone Contractor Phone MCWD Number Residential/ Commercial Local Agency Local Agency Approval Date Agency Permit Number Type of Improvement MCWD APPLICATION APPROVED BY _________________________________ THE ABOVE APPROVAL GRANTS PERMISSION TO DO THE WORK COVERED BY THIS APPLICATION IN ACCORDANCE WITH PLANS AS APPROVED AND ALL APPLICABLE CITY AND STATE ORDINANCES, REGULATIONS AND LAWS GOVERNING LOCATION, CONSTRUCTION AND OCCUPANCY OF BUILDING. EXPIRATION OF PERMIT This permit expires if the building or work authorized herein is not commenced within 180 days from date of approval, or if work is suspended for a permit of 180 days or abandoned, after expiration, this permit must be renewed before the work may be commenced again. Job Inspection Record Inspection Date Inspector Remarks Mark & Locate Pre-Construction Mtg Pipe Abandonment Water Foundation Prep Mainline (Pipeline & Testing) Service Lateral Plumbing & Connection to Main Service Lateral Pressure Test Backflow Devices Bacti Tests Backfill Sewer Foundation Prep Mainline (Pipeline & Testing) Building Lateral, Connection & Cleanout Sewer Lateral & Connection Pressure or Water Testing Backfill Final Inspection 5/03
APPENDIX 9 COST OF CONSTRUCTION STATEMENT (DOMESTIC WATER, SEWER, AND RECYCLED WATER SYSTEMS)
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APPENDIX 1 RESIDENTIAL CONNECTION F
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No. Fixture Units per Total Fixture
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MARINA COAST WATER DISTRICT 11 Rese
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Backflow Devices: Irrigation: Size:
Page 9 and 10:
MARINA COAST WATER DISTRICT 11 Rese
Page 11 and 12:
TABLE NO. 2 - POST-PROJECT PROPERTY
Page 13 and 14:
Fees and Capacity Charges Calculati
Page 15 and 16:
EXAMPLE CONSTRUCTION AND TRANSFER O
Page 17 and 18:
EXAMPLE CONSTRUCTION AND TRANSFER O
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EXAMPLE this Agreement, and the In-
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EXAMPLE services in the amount of $
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EXAMPLE 11.1.2 A complete, detailed
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EXAMPLE 16. No Water, Recycled Wate
Page 27 and 28: EXAMPLE NOTICE: IN AGREEING TO THE
Page 29 and 30: EXAMPLE 28. Exhibits 28.1 All exhib
Page 31 and 32: EXAMPLE EXHIBIT A CITY RESOLUTION M
Page 33 and 34: EXAMPLE EXHIBIT C MAP OF DEVELOPMEN
Page 35 and 36: EXAMPLE of concern (“MEC”). All
Page 37 and 38: EXAMPLE Deductibles and Self-Insure
Page 39 and 40: EXAMPLE EXHIBIT E NOTICE TO BUYERS
Page 41 and 42: Date Development Company, LLC Attn:
Page 43 and 44: APPENDIX 5 CHECKLIST FOR PLAN CHECK
Page 45 and 46: PART A: ADMINISTRATIVE REQUIREMENTS
Page 47 and 48: Footnotes 1. The MCWD Code Section
Page 49 and 50: No. Item App. B-10 If the plans are
Page 51 and 52: No. Item App. B-28 Is there a City
Page 53 and 54: PART C: REQUIREMENTS FOR DOMESTIC (
Page 55 and 56: No. Item App. Rev. Init. Reviewer C
Page 57 and 58: PART D: REQUIREMENTS FOR RECYCLED W
Page 59 and 60: No. Item App. D-15 Water service la
Page 61 and 62: No. Item App. b) Correct material (
Page 63 and 64: PART F: REQUIREMENTS FOR SUBDIVISIO
Page 65 and 66: No. Item App. G-03 Has an Irrigatio
Page 67 and 68: PART H: WATER CONSERVING APPLIANCES
Page 69 and 70: PART I: REQUIREMENTS FOR HOT WATER
Page 71 and 72: APPENDIX 6 BOND WORKSHEET
Page 73 and 74: DOMESTIC WATER, SEWER, RECYCLED WAT
Page 75 and 76: APPENDIX 7 DEVELOPER’S REQUIRED I
Page 77: APPENDIX 8 CONSTRUCTION PERMIT APPL
Page 81 and 82: Marina Coast Water 11 Reservation R
Page 83 and 84: APPENDIX 10 BILLS OF SALE (DOMESTIC
Page 85 and 86: IN WITNESS WHEREOF, the other parti
Page 87 and 88: Marina Coast Water 11 Reservation R
Page 89 and 90: EXHIBIT A - PROPERTY DESCRIPTION Ap
Page 91 and 92: IN WITNESS WHEREOF, the other parti
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