appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
appendix 1 residential connection form and permit application
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Marina Coast Water<br />
11 Reservation Road<br />
Marina, CA 93933<br />
(831) 384-6131<br />
APPENDIX 9A<br />
COST OF CONSTRUCTION STATEMENT<br />
DOMESTIC WATER SYSTEM<br />
Developer’s Name<br />
Tract No.<br />
Date Prepared<br />
Item Quantity Unit Price Total Cost<br />
$<br />
“SAMPLE FORM”<br />
ITEMIZE TOTAL CONSTRUCTED COSTS<br />
Subtotal:<br />
GRAND TOTAL INSTALLATION COST: $<br />
Prepared by<br />
My signature as witnessed here below attests that under penalty of perjury, the above statement is true <strong>and</strong> correct to the best of my knowledge.<br />
Date:<br />
Developer<br />
Official Title<br />
9A-1