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<br />Y:\Public Services New\Webpage\SERVICE INSTALLATIONS\Sewer Service Request Application 2019.docx <br /> <br />SEWER SERVICE REQUEST APPLICATION <br />Total Number of EDU’s for this construction: , as shown in Section 53.08. <br /> <br />Commercial User Classification for this construction: , as shown in Section 53.11.C. <br /> <br />A Sewer Capacity Fee is applied to your quote as shown in Section 53.03.A (1) and 53.03.A (2). <br /> <br /> Agreement to Notify District of Completed Sewer Connection is required. <br /> <br /> <br />OWNER INFORMATION <br />Parcel Owner Name: <br />Contact Name: Contact E-Mail Address: <br />Company Address: <br />City: State: ZIP Code: <br />Phone: Fax: Cellular: <br />*Who is financially responsible for payment of the monthly water bill? <br />(check one) OWNER APPLICANT <br />APPLICANT INFORMATION <br />Company Name: <br />Contact Name: Contact E-Mail Address: <br />Company Address: <br />City: State: ZIP Code: <br />Phone: Fax: Cellular: <br />PROJECT INFORMATION <br />Project Name: Assessor Parcel Number (APN): <br />Project Address: <br />City: State: ZIP Code: <br />Description of Service Installation Required: <br />Signature of Applicant: Date: <br /> <br />Otay Water District, Public Services Division 2554 Sweetwater Springs Blvd Spring Valley, CA 91978-2004