Contact Information
Applicant
*
Business Name
*
Billing Address
*
City, State Zip
*
Phone #
*
Email Address
*
Service Location
Project Name
Same as above
Address
*
City, State Zip
*
Lot No
Service Details
Domestic Meter
Small/Medium
3/4"
1"
1 1/2"
2"
Large
3" Compound
4" Compound
Master
4" Master
6" Master (Domestic & Fire)
8" Master (Domestic & Fire)
Fire Line Meter
None
2"
3"
4"
6"
8"
Irrigation Meter
None
3/4"
1"
1 1/2"
2"
Sewer
6" Sewer Tap Installation
Sewer Impact Fee
*
Your sewer development fees will be calculated based on the following information:
This is a
New Building
Existing Building
Type of Business
*
Select one
Office
Retail
Restaurant
Warehouse
Coin Laundry
Other
Comments