Sewer Connection Application Applicant(Required) First Last Email(Required) Phone(Required)Property Owner(Required) First Last Property Address(Required) Street Address City State / Province / Region ZIP / Postal Code Contractor(Required) Contractor Phone(Required)Use of Building(Required) Is the building(Required) New Old Material To Be Used - Check One(Required) Clay sewer pipe-A.S.T.M. C13-50 (Standard Strength) Clay sewer pipe-A.S.T.M. C200-50T (Extra Strength) Extra heavy cast iron soil pipe Cast iron water pipe - A.S.A. A21 P.V.C Schedule 40-A.S.T.M D266s-68 Fee: $25.00Signature Reset signature Signature locked. Reset to sign again Date MM slash DD slash YYYY Applicant is responsible for notifying Iowa Great Lakes Sanitary District prior to making an individual connection to the sanitary sewer system in Hunter Hills Subdivision-Phase One; N Avenue Extension of 1996; and Milford Industrial Park.SEWER CONNECTION MUST BE INSPECTED BEFORE COVERING Δ
