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Building Miscellaneous 1992-5-6
Metropolitan Wastewater . Managernent Commission (.:.',",": ~ < " ',': ::: ~ ~ . ~.:~ ~~'.'!::-r~.;:..! C:".":'::'!:" ~.:f",i C'......-!L;t~,t :i: =,!: :!!:"t",t ~::::~: ;!:': 7.-~:' '.;',t.: ti. :t:':Ii:",,'.! ~'.'I: ~i. '!: ",- ~;-:~ ;'~~ : .~: ~.: ::. ':: -. (~.'.~ ':~~:;~.~;~~~::~~;.'r~~'l~-~:: ~~:~~\:.~:~~ !.~i;:.. \','U::::-,; -::.:; to,! ti i =.~: 'f::. ~.:r . ~ ri;;iH A>~D A. SiP-EEiS - ~r:r:,::<GF:~LD ClTY !-;;'.LL - ~;:R;:,Gr:ELD. CF,EGC!J 97.:.77 TELEr-':--:C,:,E l:(::) 7':'7.':'::'; J'.\.'MC CO!iNECTION CHARGE Building Address: ,"73 () Seo--t1s C(VVt.AJ Refere;gumber: /7(1)3:2.?/.5, ,Tax Lot Number: 00'10-(') Omer: D0bCu).r n " i. /~() Af{lif-~) Q Address: \\C\C\ \\ \~,m ~-' . Phone Number: lo~<6- ,\\2.3 City: fA')(l~ 0 iLL Slate: (()Jt?.oOBY\ Zip: qf\4('Y2..... (J - 0 ~ Residential Fee ($222.00) $r0Q~ ~ ___ Commercial Fee (new non-residential developmentl remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL $ <$ cOf) 45 > Credit Due (see reverse of this form) TOTAL MVY,C CHARGE $ \C\4 55 Date Received: 6'\o.Qt-, 4:~\f}\O Received By: ~lro ) --- Receipt Number: Building Job Number: q / X If '12.., . . Fi:<ture Uni t Calculatio:l Tabl,,: ::'JC,~"r cf "e'.' IJ:-:tllres J:',1I1tiplied by \':1i t equivalents. MIT;::: For re",od~ls, calcJl~te only the ::;::T acdi tional fi:-:t~:res. Fixture Type of Unit F xtures ;::quivalents Fi:\ture l'ni ts 3a t h t \1 b. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . Drinking fountain......................... Floor drain..................,............ Interceptors for grease/oil/solics/etc.... Interceptors for sand/auto .ash/e:c....... Laundry tub/clothes ~asher..... ........ '" Clothes .asher (3 or more)... ............. Mobile home park trap (1 per ~.3.)........ Receptor for retrig/vater static~;:tc..... Receptor for Coccer sink/dish~sh::Etc..... Shover, single stall.... .................. Sho.er, gang (per head)....... ......... ... Sink, bar, commercial......... ............ Sink, commercial/industrial/etc........... Urnial, stall/.all........................ Vash basin/lavatory, si~gle. .............. Vater closet, public installation......... Vater closet, private........ ............. l'.iscellaneous: .......... 2 1 2 3 6 2 6 6 1 3 2 1 2 3 2 1 6' 4 .......... .......... Total Units: Total fixture units x S13.25 each = Total Charge: $ Credit Calculation Table: 3ased on total value of property at time of permit application. Year ']..ilne:':~d to the city Credit per $1,006 2.55e!?sed valtH~: l ~ 104- 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 $2.66 $2.64" $2,53 $2.41 $2.19 $2.04 $1.69 $1. 35 $1.15 $0.92 $0.59 SO.23 Credit .. S 10,'320 r.ssEssed Val \.:e = s r:ate Total Credit