appendix 1 residential connection form and permit application

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Marina Coast Water 11 Reservation Road Marina, CA 93933 (831) 384-6131 APPENDIX 9A COST OF CONSTRUCTION STATEMENT DOMESTIC WATER SYSTEM Developer’s Name Tract No. Date Prepared Item Quantity Unit Price Total Cost $ “SAMPLE FORM” ITEMIZE TOTAL CONSTRUCTED COSTS Subtotal: GRAND TOTAL INSTALLATION COST: $ Prepared by 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. Date: Developer Official Title 9A-1
Marina Coast Water 11 Reservation Road Marina, CA 93933 (831) 384-6131 APPENDIX 9B COST OF CONSTRUCTION STATEMENT SEWER SYSTEM Developer’s Name Tract No. Date Prepared Item Quantity Unit Price Total Cost $ “SAMPLE FORM” ITEMIZE TOTAL CONSTRUCTED COSTS Subtotal: GRAND TOTAL INSTALLATION COST: $ Prepared by 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. Date: Developer Official Title 9B-1
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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:
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MARINA COAST WATER DISTRICT 11 Rese
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TABLE NO. 2 - POST-PROJECT PROPERTY
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Fees and Capacity Charges Calculati
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EXAMPLE CONSTRUCTION AND TRANSFER O
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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
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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 and 78: APPENDIX 8 CONSTRUCTION PERMIT APPL
Page 79: APPENDIX 9 COST OF CONSTRUCTION STA
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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appendix 1 residential connection form and permit application

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