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: $50.00SignatureYour NameYour NameYour NameYour NameDate 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
