Service Request Form

Click here to print the Service Request Form and mail or fax it to the District office.

Or, simply complete and submit the form below. All fields are required.

---

Requesting Party

Contractor/Applicant:
Company Name:
Phone:
Email Address:
Mailing Address:

---

Property Owner (if different from above)

Full Name:
Phone:
Email Address:
Mailing Address:

---

Property Information

Parcel Number:
Property Address:
Subdivision:
Filing:
Block:
Lot:

---

Type of Proposed Development (check all that apply)

New Construction
Addition/Remodel to Existing Structure
Residential
Commercial
Single Family Residence
Apartment/Condominium Complex
Platted Single Family Residence, Multi-Family Subdivision
Other Explained Here:

---

Development Intent

Proposed Development Intent or Service Being Requested:
Identify alternate plan that may be considered:

---

Additional Information Requested

Locate main line
Locate existing service line
Other Explained Here:
 

Before you click Submit...
Click here to print the Planning Code and Zoning Law Compliance Form. 
Complete, sign, and fax or mail it to the District office.