HomeMy WebLinkAbout0850-72_Sewer Improvement 9712 CypressFILE (7 '. r.� —
2 2 O l 4
RECEIVED FROM
MP
City of Fontana Engineering Services Department
SUSPENSE DEPOSITS-
ADDRESS 9 C./ pro 54
DESCRIPTION OF PROPERTY
vher
DATE
AL,,-
1-1 12_ r��'g
PAYMENT FOR: THANK Y ( rr
SIDEWALK
DOLLARS $ 2. 3 OO 7
CURB & GUTTER
SHOULDER PAVING
MAR -4 1991
OTHER C WPt—
IT
Y
-prI RANA CI'i'y FIAT L
Fontana, fatif.
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SIGNED ,r^.I i r! (-) :'� 1`�`a'�✓1
OFFICE
DOLLARS $ 2) 300 uG
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998'a/Tossdr 1a
/217/: L,�y C,,g_ 9.2 3 7
CITY OF FONTANA
SEVER FEE FORM
Property Address: 9'7) J p t.e 55 Av_
Applicant: e, 1-1a-1$ewiavi
Applicant Address: 017) Cypt--es5 AL) -
City: --9-e> V wet_ State GA
Phone #: 62 2- 313 7
Zip: 9233 5
Sewer fees for: S Fly
1. Service Lateral
Existing in Cost $
To be installed in C-vPrrs', $ v
2. Sewer connection permit fee ($25 per permit) $ Z 5
3. Sewer connection charge $600 x 1 service unit db
(Residential = 1 S U) $
4., Sewer deposit, 4 x 1 service unit x $4.80/mo. $ 19 '
Sewer service unit assignment formula for commercial and
industrial.
See City Code Section 25-43 for criteria
TOTAL SEWER CHARGES
Applicant:
REMARKS:
PUBLIC WORKS DEPARTMENT:;.C4/ &
935_-
Date: 3-4'91
ad
Dan _Hallam'
Brenda Rl &Man
9712 Cypress Afe. B22-3137
9nntana, Ca 92335
tOtho
Vidal Ci y of 7owT-9-4r/41 I s
y 19 7/ 4759
18fi8/1220
3, 0
Hi Bank of America "'•'"
Fontana Branch 0244
P.O. Boo 809
Fontana, CA 92335
/far?
I: 1 2 200066 Li: 4 7591,10 244911. L0 2 Igo
4
CONSTRUCTION PERMIT Date Issued 3 -- 4 -1 1
PUBLIC WORKS DEPARTMENT Work must commence within 60 days from
CITY OF FONTANA, CALIFORNIA date of issue.
Telephone: 823-3411 Date Completed
1827
Application is hereby mode for permission to perform the work described below, It is expressly agreed that the work
will be performed in accordance with applicable laws, regulations end specifications of the City of Fontana.
This permit must be at the job site during construction.
Sc,.(x- 4 4 # Z63479 De Ike
CONTRACTOR LICENSE No.
APPLICANT
P.OI ITou 1159
STREET �ITRbe tuial• 9711 Cy�,te.s5 1-44441b..
CA FT
CY") I Cy prey -Ave
rk
LOCATION OP WORk
Quantity
Description of Work
L.S. Rate
+ Unit -
Amount
Ln. Ft. Curb or Curb & Gutter
+ a
S
Sq. Ft. Sidewalk
+ _
100 Sq. Ft. Bituminous Paving
4
Each Driveway Approach
}
Each Cross Gutter &/or Spandel
_
Ln. Ft. Drainage Pipe or Box Culvert
=
Drainage Structure
=
Ln. Ft. Sewer 'Leif1 a-4 1)
A40 -1-5`)6 (' =
I 5
00
Each Manhole &/or Cleanouts
13Gd")
1
Permission is hereby granted to the applicant to perform
the work described above.
PUBLIC WORKS DEEP�RT T
(Minimum Fee $2.00)
'-
inspection Charge
'�
Permit Application Fee
—y-
..
By ..(�„�+>?Y(J tad _
AA
Total Permit Fee Received $ 1� s oc.'
wo must ba Inspected — Notify Public or Inspector 24 hours in advance.
White -Applicant, Yellow -Treasurer, Pink -Office, Manila -Inspector
CITY OF FONTANA
PAY VOUCHER
This pay voucher is to be used only when general obligations checks are to be
issued and normal purchase order and invoicing procedures cannot be followed.
Regular meetings of the City Council for consideration of pay requests against
the City of Fontana are held on the FIRST and THIRD Tuesday of each month. l
PAYEE: P 1 Vold 4,Civ,fgwks0 DATE: 4-15 -`))
ADDRESS:
'INA/ p 4JE4- 21h
CITY: YI,\E-LAtj 1(\ c m1
DATE & TIME
CHECK IS
NEEDED�A r
Date
Items
SMti.15- wayiT }4Eu) 461 boKAtiTEE
for- I40pILtD ft u6tL1c- Oki 5UiEp
lATe-4ALf cn I1. •CtiPe.ess AJE•
The above is a true and correct request
for payment against the City of Fontana
and no part of the same has heretofore
been paid.
SIGNED:
frotaer,
TIF JED ' i CT. Dept/Div
APPROVED:
1
1
1
1
1
TOTAL
Account Number
FUND FUNCTION OBJ
TOTAL
Amount
Amount
FINANCE USE ONLY
Vendor #
Invoice # Inv. Date
BOND/DEPOSIT RELEASE FORM FOR PUBLIC IMPROVEMENTS
PUBLIC MORNS DEPARTMENT
PROJECT DESCRIPTION: Sewer 9 -70C ci
LOCATION: 9-7 it)-- C p to
BUILDER: S4. lee - &A, CGh 5 (t'I4 d! OL4 PHONE #: S'7 3-52-rj 1
ADDRESS:
IMPROVEMENT CONSTRUCTED AND FIELD CHECKED:
STREET
C ( SEWER
STORM DRAIN
COMMENTS: pp
NoS4).1h r r tease art" bovt a+-
"I" I D rrevRL.24s Can fret
Acts L e•es
f c-or recj,
Yr,ee71✓k.-.9 aafoli'�ss.A/
4.131q1
e-er 4f/s19/.
INSPECTOR APPROVAL FOR RELEASE OF BONDS/DEPOSITS: YES v
it /6 .1/
Inspector
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