1432 CAMELIA ST - WATER HOOK UP 6--
Gindlesperger,Toni I —COT 9 9
From: Walker, Chris
Sent: Friday, September 02, 2016 1:51 PM
To: Gindlesperger,Toni
Cc: Mackey, Grace
Subject: 1432 Camelia Street
Joe Overby needs to tie into city water because his well is going bad. Here are the fees for him to do so.
Water SDC Charge$1,140.00
Water tap and meter fee$800.00 1,5
Cross connection fee $50.00
Total$1,990.00
CHRIS WALKER
CITY OF ATLANTIC BEACH
WATER AND SEWER UTILITIES /
CONVEYANCE DIVISION DIRECTOR /
CWALKER@COAB.US
PHONE 904-247-5878
FAX 904-247-5843 L
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Ca— COQ' H - 1995
$ f Y Ito `S CITY OF ATLANTIC BEACH
A PUBLIC UTILITIES
`, _V>°" 1200 Sandpiper Lane
., ATLANTIC BEACH, FL 32233
1.XJ3319' (904) 270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Dat 11 Project Address: .
No. of Units: i` Commercial Residential / Multi-Family
New Water Tap(s) & Meter(s) Meter Size(s)
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer
Name: �()e 0
f
Applicant Address: f Lt 3a_ W1 (k W ,
City: G E. ,. State: Zip:
Phone Number: I 0 1 - /I"; ell Number:
Email Address Fax:
) (,,_
Signature:
Applicant)
CITY STAFF USE ONLY
Application#
Water System Development Charge $ I I Lf O 49°t7
Sewer System Development Charge $
Water Meter Only $ �O 15
Water Meter Tap $
Sewer Tap $
Cross Connection $ 5 Q
Other $
G� (notes)
ll TOTAL $ / SQS
llAPPROVED:
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED