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WATER TAP APPLICATION
CITY OF IOWA CITY
________________________ DATE
1. ___________________________________ JOB ADDRESS
2. ___________________________________
LEGAL DESCRIPTION
3. ___________________________________ __________________________________ GENERAL CONTRACTOR MAILING ADDRESS & PHONE NUMBER
4. ___________________________________ __________________________________ SEWER & WATER INSTALLER MAILING ADDRESS & PHONE NUMBER
5. PROPOSED USE:
ONE FAMILY
TWO OR MORE FAMILY – ENTER NUMBER OF UNITS _____________________
BUSINESS
OTHER – SPECIFY
6. SIZE OF TAP___________________________________
7. COST OF WATER SERVICE TAPS:
1” THROUGH 2” TAP……………………………………….$ 90.00
4” TAP…………………………………………………………$ 440.00
6” TAP…………………………………………………………$ 480.00
8” TAP…………………………………………………………$ 510.00
10” TAP………………………………………………………..$ 560.00
12” TAP………………………………………………………..$ 610.00
AMOUNT PAID___________________________________________
8. BUILDING PERMIT NUMBER ___________________________________________________
9. EXCAVATION PERMIT NUMBER _______________________________________________
__________________________ _____________ _________________________________________
HOUSING INSPECTION APPLICANT
Water Division Fax – 319-356-5167
w:\HISINS\WATER TAP APP UPDATED 8-18-09.doc