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2. 

4. City of Monticello Building Department
   210 N. Hamilton
   Monticello, IL 61856
   (217) 762-2583, ext. 26

   New Construction - Water Service Application

8. Applicant's Full Name:*
10. Applicant's Mailing Address:*
12. Applicant's Phone Number:*
13. Applicant's Email:
15. Applying as:*

    1. Owner
    2. Owner's Agent
17. Location of Building or Structure:*
19. Addition:
20. Zoning District:
22. Proposed Fixtures:

    For each type of fixture listed below, indicate the number that will be connected to the proposed service (for example, 1 kitchen sink, 2 lavatories, etc.). Type 0 for any fixtures that will not be included.

24. Kitchen Sinks
25. Lavatories
26. Garbage Grinders
27. Water Closets
29. Urinals
30. Lawn Faucets
31. Bath Tubs
32. Water A/C
34. Showers
35. Laundry Tubs
36. Other (please describe)
38. What size and type of piping will be used?*
40. Name of company performing plumbing work:*
42. By clicking below, you agree to the following:*

    1) I accept and will abide by all applicable provisions of the City of Monticello Ordinances, as well as any other regulations that may apply. 2) I will maintain the service line through this property at no expense to the City of Monticello. 3) I will be responsible for the payment of all charges associated with water provided to this property. 4) No water meters will be installed in crawl spaces.

    1. I agree.
46. Office Use Only:

    A __________ inch water meter installation fee of $__________ was paid on __________.

    
    

    Application approval and permit issued by ____________________ Date __________.

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field