HomeMy WebLinkAboutForm ED-1Form ED -1 Revised 10-20-82
Name of Project:
Location:
Name of Applicant:
Address:
Date Figured:
SEWER
----------------------------------
Phone:
By: Applicable Ordinance(s)
COP%'✓F.CT IO'
(a) ,otai User Unit -6:
. ..
for user Multiplier:
(c) Tota1 E. D. U. Is g a .. b)
WATER
(f) Total User Units:
(g) User Multiplier: -------- ----
!h) tal E:G.V f ..-----------------------------
-�=yJ----
- A LAB! LIT!
S WE
TOTALS
(k)
NuMbef
e
i)
C sr_
i)
Connection Charge
per
06
1 E.D.U.
(e)
Total Total Connection
Charge
(c
x d)
370. Sp
!i)
Connection Charge
per
Cosc per
------
Acre(n)
iE.D.U. < sp �
.Total Cannection
Charge
-
(h
x i)
y
1�y--
- A LAB! LIT!
S WE
(k)
NuMbef
---------
i)
C sr_
r
r7, Acatld r? y ,:hary s .
x 1) /�✓,'/jl
WATER
(n)
:1u.,.ber of
Acres
- ----
(
Cosc per
------
Acre(n)
Availability L'harges(n
x o) /V
!q) Meter Installation Fee
- ZA------
"otal Charges
m . p r q)
T
/ 9' 746. OV
,a
Y i
s
C