Commercial Service Check List – Provo Water Company

Company Name *

Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Email *

Email

Confirm Email

Block and Parcel Number of service address *

SERVICE BEING APPLIED FOR *

Domestic Connection

Commercial Connection

Fire Hydrant

NUMBERS OF EACH

WATER DEMAND DESIRED (in gallons)

TOTAL LANDMASS OF AREA TO BE SUPPLIED

DEVELOPMENT STATUS OF PROPERTY

PLEASE UPLOAD THE FOLLOWING

Vicinity map and site development plan (with reference North Arrow) with public road leading to the property shown.
Plan illustrating location and number of building or housing units to be supplied.
Layout plan of proposed cold water main and meter/s.
Layout plan of proposed underground utilities other than water.

Vicinity map and site development plan (with reference North Arrow) with public road leading to the property shown. *

Click or drag a file to this area to upload.

Plan illustrating location and number of building or housing units to be supplied. *

Click or drag a file to this area to upload.

Layout plan of proposed cold water main and meter/s.

Click or drag a file to this area to upload.

Layout plan of proposed underground utilities other than water. *

Click or drag a file to this area to upload.

Signature on Account *

Clear Signature

By signing below I verify that I have read the agreement points above and received the terms and conditions of service.

Date / Time *

Date

Time