Repair Sewer Connection

Terms and Conditions:
1. Thoroughly read and understand all conditions including insurance needs, plans, contacts
2. At least 48 hours notice
3. No work may proceed without the approved permit in hand.
4. Applicant must either come in and pay by cash or check, pay by mail, or some other way, before they can get any permit.

In order to change or update your application please contact the Highway Department.

You must contact the Police only if work will block the entire street width.

Once your application has been reviewed, you will be contacted (email, phone) regarding permit status.

Agree to Terms	I agree to these terms
Company Name
Company Street Address
Company City
Company State
Company Zip
Company Phone Number
Company Cell Number
Work Site Street Number
Street of Work
Nearest Intersection
Type of Sewer	Commercial Residential
Type of Work	New Sewer Sewer Repair with New Tap Sewer Repair without New Tap
Start Date
End Date
Work Order (if applicable)
Your Last Name
Your First Name
Email
Telephone
Fax
Master Plumber Number
Pipe Layer Number
Permit Notification	Yes No
	Submit Cancel