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FORM 1318-8 (BC) CALIF( 'NIA WATER SERVICE COMP; 'Y . �"n N <br /> FILE COPY <br /> REV.MAR 03 NEW CUSTOMER INFORMATION FOR METER LARGER i rIAN 1 <br /> Business/Commercial c J <br /> Name: V" i ti t`!ty'y tia, L, Telephone Number. <br /> Service address:_2-L7 Cu r L&?&N w[i`� jc l�""j'u t-1 CA `�S z• S' <br /> Mailing address: ►+vie, <br /> Contact: _I /N.Cry Y--H r—TIs=i Telephone Number:(2p" vs S <br /> Date service needed: A S `-�.eZ)r,-t Q c, ;S i'Ii LE- <br /> General Information: <br /> Business Type: U L- Tax ID No.: Number of floors: <br /> Indicate the maximum flow demand: gpm and supply the information below from the plumbing plans: <br /> Fixture Number Fixture Number <br /> Wash Basins/Sinks 1Z-- Flush valve urinals <br /> Baths and/or showers 119 Hose connections <br /> Tank toilets _ I Cl Clothes washers 2. <br /> Low flow toilets Dishwashers <br /> Flush valve toilets 15 <br /> Other water demand facilities: <br /> Facili GPM Facili GPM <br /> Hours per day of operation: hrs. Customer's pipe size where meter is to be installed: in. <br /> Will booster pumps be installed on the private plumbing lines?_ Nv _ (Yes/No) <br /> If Yes,backflow device is required,and surge protection may be required.Attach applicable plumbing plans and the flow rating for the pump. <br /> Estimated increase in water requirement over the next ten years: gpm or percentage. <br /> Property to be served by another water supply? JF—S (Yes/No) <br /> If Yes,explain: C lF7-kvn-"C*:- W C--i_�_- <br /> Will toxic chemicals be used or stored on the premises? ,fib (Yes/No) If Yes,attach explanation. <br /> Irrigation Information: <br /> Will this service also be used for the irrigation facilities? Yes/No) <br /> If Yes: <br /> Maximum irrigation demand: gpm. <br /> Will irrigation take place off-peak between 9 p.m. &6 a.m.? (Yes/No) <br /> Fire Protection information: G <br /> Is the domestic metered service also for fire protection? 1140 (Yes/No) W `- <br /> If Yes: <br /> Fire Flow requirement: gpm. --I-jm <br /> Pressure requirement: psi Y) { <br /> Ty <br /> Will on-site private fire hydrants be installed? (Yes/No) Z C. <br /> Will the building be equipped with a separate fire sprinkler system? "o. (Yes/No) <br /> NOTE: If Yes,plans and fire flow requirement calculations must be submitted along with application form. C." <br /> 'y� J <br /> Additional customer comments: <br /> Customer Signature: <br /> California Water Service Company <br /> _ District: <br /> Date: 7 b 1318 File No.: <br /> Service Order: <br /> Date: <br />