Water Tap Application | City of Thomasville

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Home
Water Tap Application

Home
Water Tap Application

Engineering - Water Tap Application

Date:

Property Address:

Owner:

Phone:

Email:

Contact Person:

Phone:

Email:

Location:

Inside city limits

Outside city limits

Service Size:

3/4"

1"

2"

Larger Size

Type of Service

Domestic no sewer

Domestic w/irrigation

Domestic w/irrigation w/sewer

Fire/main only

Domestic w/sewer

Irrigation no sewer

General directions to location where the tap is to be made:

Is there another source of water to this property (private well, existing water, etc)?

Are there any facilities to increase the water pressure to the city's water supply pressure?

Yes

No

Will there be any toxic chemicals used in the area where this proposed tap will serve?

Yes

No

Will this service be tied to a lawn irrigation system?

Yes

No

Location:

Residential

Commercial

If commercial, please specity type of business:

__________________________________________________________________________________________

For Internal Use Only:

Time and date to meet on job site to determine location of proposed service:

Information furnished by:

Type of backflow preventer required (Residential Dual Check Valve, Double Check Valve, RPZ Device with Freeze Proof Box):

Proposed water service approved by?

Date:

Is a GA DOT permit required?

Control No: WA-16-

Water Connection Fees:

Tap Fee (Account 002.00.0471.00):

Back Flow/Cut-Off (Account 002.00.0471.00):

Reconnect (Account 002.00.0471.00):

Temp Meter (Account 002.00.0471.00):

New Water Main Extension (Account 002.00.0421.10):

Swimming Pool Fee (Account 002.00.0471.00):

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