HomeMy WebLinkAbout2021-06-30-303.158 Worksheet, 06-30-04NAME DATE
ADDRESS
EXPECTED USE PERMIT #
PLEASE INSERT THE NUMBER OF FIXTURES FOR EACH OF THE PLUMBING FIXTURES NOTED:
WATER
VALUE
SEWER
VALUE
# OF
FIXTURES
WATER
FEE
SEWER
FEE
4 3
2 2
4 5
4 2
2 1
3 2
1 1
1 1
2 2
1 ½
0 0
3 2
2 2
4 2
2 2
2 1
4 2
3 2
5 4
5 2
3 2
2 4
3 3
6 4
10 4
5 6
TOTAL
ALL OTHER FIXTURE OPENINGS SHALL BE DETERMINED ON THE BASIS OF THE FORGOING LIST FOR
SIMILAR PLUMBING ITEMS; WHERE THERE IS NO COMPARABLE ITEM, DETERMINATION SHALL BE MADE
ON THE BASIS OF 35 PSI PER FIXTURE VALUE.
WASTEWATER
Current Year Fee
WATER
Current Year Fee
Bathtub (with or without overhead shower or
whirlpool attachments)
Bidet
Combination sink and tray
Dental lavatory
Dental unit or cuspidor
Dishwashing machine, domestic
Drinking fountain
Emergency floor drain
Floor drains
Kitchen sink, domestic
Bathroom group as defined in Section 202 (1.6 gpf
water closet)
Urinal, 1 gallon per flush or less
Wash sink (circular or multiple) each set of faucets
Water closet, flushometer tank, public or private
Lavatory
Shower
Sink
Urinal
Kitchen sink, domestic with food waste grinder
and/or dishwasher
Laundry tray (1 or 2 compartments)
(Current Fiscal Year) PER FIXTURE
FEE
COMMERCIAL/INDUSTRIAL CONNECTION FEE
APPLICATION WORKSHEET
OTHER
Water closet, private (1.6 gpf)
Water closet, private (greater than 1.6 gpf)
Water closet, public (1.6 gpf)
Water closet, public (greater than 1.6 gpf)
Automatic clothes washer, commercial
Automatic clothes washer, residential