appendix 1 residential connection form and permit application

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APPENDIX 2 COMMERCIAL CONNECTION FORM AND PERMIT APPLICATION
MARINA COAST WATER DISTRICT 11 Reservation Road, Marina CA 93933 (831) 384-6131 COMMERCIAL CONNECTION FORM AND PERMIT APPLICATION Completing the Commercial Connection Form & Permit Application does not guarantee issuance of a permit. ALL SPACES BELOW MUST BE COMPLETED OR THE APPLICATION MAY NOT BE PROCESSED. (Please print clearly.) 1. OWNERSHIP INFORMATION Property Owner: Owner's Telephone Number: Mailing Address: 2. AGENT/REPRESENTATIVE INFORMATION Agent/Representative: Agent's Telephone Number: Mailing Address: 3. PROPERTY INFORMATION Property Address: Assessor's Parcel Number Project Type (Check One) New Construction Rennovation of Existing Structures Rehabilitated Landscape (2,500 Sq. Ft. or more) New business in existing building, no rennovation Water Meters Required (enter quantity): Potable Irrigation 4. BUSINESS INFORMATION (used to calculate capacity charges) Item Proposed Previous Change List Business Type For new const, leave blank No. of Employees Auto repair shops sq. ft. sq. ft. Bar seats seats Beauty shop/barber shop stations stations Car wash w/recycle sq. ft. sq. ft. Child Care sq. ft. sq. ft. Commercial laundry washers washers Delicatessen (w/o seating) sq. ft. sq. ft. Dental offices sq. ft. sq. ft. Dry Cleaners (no washer machines) sq. ft. sq. ft. Gas station ti pumps pumps General retail sq. ft. sq. ft. General office sq. ft. sq. ft. Grocery and other Markets sq. ft. sq. ft. Hotel/motel/bed & breakfast units units Laundromat (self-serve) washers washers Medical offices sq. ft. sq. ft. Meeting halls, churches sq. ft. sq. ft. Nursing home rooms rooms Photographic lab sq. ft. sq. ft. Plant nursery sq. ft. land sq. ft. land Public restroom toilets toilets Restaurant (incl. fast food, deli, sandwich shop) seats seats Retail photo w/processing sq. ft. sq. ft. Swimming pool (per 100 sq. ft. pool surface area) 100 sf 100 sf Theater seats seats Vt Veterinary sq. ft. sq. ft. Warehouse, distribution, self-storage sq. ft. sq. ft. continued on next page June 2009 1 of 5
Page 1 and 2: APPENDIX 1 RESIDENTIAL CONNECTION F
Page 3 and 4: No. Fixture Units per Total Fixture
Page 5 and 6: MARINA COAST WATER DISTRICT 11 Rese
Page 7: Backflow Devices: Irrigation: Size:
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
Page 19 and 20: EXAMPLE this Agreement, and the In-
Page 21 and 22: EXAMPLE services in the amount of $
Page 23 and 24: EXAMPLE 11.1.2 A complete, detailed
Page 25 and 26: 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 and 78:
APPENDIX 8 CONSTRUCTION PERMIT APPL
Page 79 and 80:
APPENDIX 9 COST OF CONSTRUCTION STA
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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