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Water & Wastewater Availability Request Form

2. Project Address*

4. City*

5. State*

6. Zip Code*

8. Property Owner's Name*

9. Property tax I.D. number:*

11. Complete legal description: *

13. Purpose of development (check all that apply):*

    1. Single family
    2. Multi-family

    1. Commercial
    2. Re-development of property
15. If creating new lots, how many: *

17. Tell us about your project:*

    Will you need a new water and/or sewer service? If so, what size of water meter will you need?

19. Is a sprinkler system required for this project?*

    1. Yes
    2. No

21. Please enter any additional comments or relevant information: *

23. Name of person requesting information:*

24. Telephone #:*

26. Mailing Address*

28. City

29. State

30. Zip Code

32. Email address:*

33. Fax #:

35. Where to send the availability letter:
    -- Select One --EmailMailing addressFax

37. Please send me a confirmation receipt:*

    1. Yes

39. <b>If you chose to have a confirmation receipt sent to you and do not receive a confirmation receipt please contact the District at (425) 355-3355 to ensure your request is processed.</b>

    If you chose to have a confirmation receipt sent to you and do not receive a confirmation receipt please contact the District at (425) 355-3355 to ensure your request is processed.

41. Please allow 3-5 days to process this request. Thank you.

    Please allow 3-5 days to process this request. Thank you.

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field