Sanitary Sewer Tap Application

Engineering - Sanitary Sewer Tap Application

Date:

Property Address:

Owner:

Phone:

Email:

Contact Person:

Phone:

Email:

Application for:

Residential

Commercial

Location:

City

County

___________________________________________________________________________________________

For Internal Use Only:

Control No: SW-16-

Parcel ID:

Sanitary Sewer Connection Fees

Connection Fee (Account 004.00.0471.00):

New Sewer Tap - Includes Clean-Out (Account 004.00.0471.00):

Sewer Main Ext (Account 004.00.0421.00):

Connection fees for hospitals, hotels, motels, nursing homes, dormitories, large office buildings, industrial buildings, private, multi-unit apartment complexes with a single connection to the City’s system, and retail outlets shall be calculated separately.

Received By:

Date:

Notes: