201 1st St 1996 Water/Sewer Tap 11-08-1996 8:06AM FROM 2A75872 P. 1
OGt-24-96 il _SOA P_01
PRICE QUOTE
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME J
MAILING ADDRESS Zy/S �' 5 � �F �
PHONE NUMBER/, DATE fU �-
SERVICE REQUESTED
SERVICE LOCATION '�r X,rr14W,�.S i
NEuJ HOusC
DATE SET TO PUBLIC W KS AD J
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PFUCE OWTE RESPONSE
WATER: ,� - a Gc e- c
SEWER: x i~� 't .._5 �i G'- min /y, Arop.
OTHER:
PRICE QUOTE PREPARED BY:
Ignature-Title
DATE NOTIFIED OWNER
Post-if Fax Note 7671 Date�f � .�+ 144"10. F
To / From/V <Wz
Co./Dept. Co.
Phone+f Phone u
Fax Fax r
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
3 BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) /F
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
Q BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
C� SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
_WASHING MACHINE (3) POT. SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
v KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
_KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
C BIDS URINAL STALL, WASHOUT (4)
__FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
_F_URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY _ICE MAKER (1/2) ' S
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
7
JACUZZI (2) 0 URINAL STALL. WASHOUT (4)
TOTAL FIXTURE UNITS ij - (� $20.00 EACH $
JOB INFORMATION__