Pre-Order Sewer Permit

Description

COMMISSIONERS Norm Harker Denny Kiggins Dan Clark GENERAL MANAGER John M. Peterson, P.E. Pre-Order Side Sewer Permit Form Point of Contact: Company: Phone #: Email: Check ☐ Payment Method (select one): Date of payment: Card/eCheck ☐ Cash ☐ Allow 24 hours’ notice to process requests The Owner and/or their authorized agent or representative, by applying for and accepting a permit for sewer service, hereby acknowledges and agrees to abide by the District Terms and Conditions of service. New Home Construction Connection A copy of the building permit is required for each lot. Include the building permit(s) with your order form. If you do not have the building permit(s): • Clark County (NHC-20XX-00000) – Contact Community Development at (564) 397-2375 or commdev@clark.wa.gov. • City of Ridgefield (BLD-XX-0000) – Log into the City’s online permitting system. No ☐ Does the construction include an Accessory Dwelling Unit (ADU) or pool? Building Permit # Lot / Subdivision Home Builder ADU ☐ Pool ☐ Check # (if applicable) Sewer Contractor Existing Home Connection or Sewer Modification Please indicate permit type: Existing Home Connection ☐ Is there an Accessory Dwelling Unit (ADU) or pool on the property? Site Address Sewer Modification ☐ No ☐ Sewer Contractor ADU ☐ Pool ☐ Check # (if applicable) Email completed request form and building permits to Permits@crwwd.com