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UTILITY RESIDENTIAL SERVICE AVAILABILITY APPLICATION

  1. TAPS BEING REQUESTED:
  2. If the City shall be required to hire a third-party contractor to install a service, the applicant will be required to reimburse the City for any cost for a third-party contractor. All fees must be paid before services are cut on. Applications must be submitted with a 911 address before any services are approved. Please submit a plat with request if available or a map of property requested. Confirmation must be in written form when utilities are approved.
  3. IS THIS REQUEST FOR A (CHECK ONE):
  4. DO YOU HAVE EXISTING SERVICES AT THIS LOCATION?
  5. IF SO, WHICH SERVICE?
  6. REQUESTED SERVICE LOCATION
  7. City Limits
  8. MAILING ADDRESS
  9. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. ***PLEASE NOTE THIS IS A TAP REQUEST. YOU WILL BE NOTIFIED WITHIN 30 BUSINESS DAYS OF THE TAP REQUEST DECISION. ***THANK YOU
  11. Know what’s below. Call 811 before you dig.
  12. Leave This Blank:

  13. This field is not part of the form submission.