1. My agent shall, at my expense, make the requested connection from the water main line to and including the water meter and up to the place at which the water is to be used and/or make the requested connection from the sewer main line the place at which the sewer is to be discharged. I agree to pay the city all connection charges and other fees as may be fixed by the city council by resolution or ordinance.
2. Additionally, I agree to pay $

   for inspection and overhead charges of the city as may be fixed by the city council by resolution or ordinance from time to time and any additional expenses as may be incidental to my connection(s).
3. The connection(s) so made, including the meter (water), shall remain under the control of the city at all times, and the city shall have access thereto at all times.
4. The location of the meter (water), whether on my premises or at some point near my premises, may be decided solely by the city.
5. I understand that if I fail to make active this connection(s) within one year of the date of this application that the connection(s) shall be considered to be abandoned and the city has the authority to discontinue the water and/or sewer connection without refund of connection fees paid.
6. Before making connection with the water and/or sewer system, I shall cause the plumbing upon my premises to be inspected by the city and if the plumbing is not approved, I will cause the plumbing to be rectified at my own expense to meet the requirements of the city or of any other governmental agency having jurisdiction to regulate the water and/or sewer system within the city.
7. I will be bound by the rules, regulations, resolutions or ordinances enacted now or hereafter by the city applicable to the city's water and/or sewer system.
8. The purpose for which the water and/or sewer connection will be used is

9. The city shall have free access to the lines and meters (water) installed under this agreement and, at reasonable times, through my property if necessary.
10. For property outside of city limits: The applicant consents to accept annexation of the property being served into the city without opposition, if the city wishes to annex said property at any time.

    Please select requested service(s):

    Water in city limitsSewer in city limitsWater out of city limitsSewer out of city limits

The following documents are required with this form: