The District will assess and determine the location of the water meter installation for the parcel listed above. If the customer would like to discuss the meter location prior to the installation, the customer will need to notify the District of their request in advance. The District will have final authority as to the placement of the water meter, per Article 2.4 of the District’s Rules and Regulations.      

You will be required to install a backflow prevention assembly within 30 days of your new meter installation to prevent the pollution and/or cross contamination in our water supply. Backflow devices are the sole responsibility of the customer, and will need to be tested by a certified backflow tester annually. The District’s Development Team will follow up with more information.

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Development Service Request

Applicant Name (required)

Applicant Phone Number (required)

Applicant Mailing Address; House Number & Street (required)

Mailing Address City (required)

Mailing Address State (required)

Mailing Address Zipcode (required)

Applicant Email (required)

Parcel / APN Number (required)

Parcel Address (required)

Select the type of request needed for the project: (required)

Fire Flow Static Pressure Letter (For Fire Sprinkler Plans)

Will Serve Letter (For County Permit) Plot Plan required if you are building

New Meter & Service Quote

What is your project type? (required)Residential (Single Family Residence)Commercial (Duplex, Institutional, Multi-Family Residence)

What size meter(s) does your project require? (required)

1" (One inch)

1.5" (One and one-half inch)

2" (Two inch)

3" (Three inch)

Please upload any required documentation (required)

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Project Information

I understand that this form is the start of the process and that I may be asked to submit further information. (required)

Yes, I understand.

What type of project are you proposing? (required)

How many meters are you requesting? (required)

How many structures are you proposing? (required)

Any other information you would like to add:

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Water Use Questionnaire

Is this a new meter install? (required)

Yes

No

Residential Options (Check all that apply) (required)

Grey water reclamation system

Swimming pool or spa

Solar water heater system

Booster pump (to increase water pressure)

Irrigation system for landscaping or dedicated water meter for this purpose

Fire service (service for a fire hydrant or building sprinkler system)

Domestic well (well water used for consumption)

Multi-service connection (more than one water service to property)

Building or equipment is 20 feet above the service connection

Other (describe below)

Home based business (describe below)

None of the above

Residential home based business description

Residential "Other" description

Commercial Options (Check all that apply) (required)

Building over three (3) stories in height

Cold storage (freezer room or cooler)

Medical office or medical treatment

Grey water reclamation system

Waster interceptor (grease receptor/trap, etc.)

Swimming pool or spa

Solar water heater system

Booster pump (pump to increase water pressure)

Water pumping other than a hot water recirculation

Building or equipment is 20 feet above the service connection

Fire service (service for fire hydrant or building sprinkler system)

Water make-up (replacement water to equipment due to evaporation or use)

Water-cooled equipment (water circulated through water equipment jackets)

Multi-service connection (more than one water service to the property)

Treated water (chemicals added to water for heating, cooling or irrigation)

Irrigation system for landscaping or dedicated water meter for that purpose

Chemical processing or repackaging (operation using chemicals)

Irrigation/Domestic well (well used to water plants, crops or consumption)

Drink dispenser using a carbonator (soft drinks not in cans or bottles)

Steam generating (steam boiler, autoclave or steam producing equipment)

Recycled water (equipment using the same water more than once)

Reclaimed water (treated water from the sewage treatment plant)

Water for decorative use (pool, fountain, stream, etc.)

Other (please describe below)

None of the above

Commercial "Other" description

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IMPORTANT: Please allow up to ten (10) weeks for processing, due to the high volume of requests. This form will be submitted to Customer Service, who will email you the total amount due and instructions to pay online. Once payment has been made, reply to the Customer Service email with your payment confirmation number. Customer Service will reply with a confirmation that it was received and begin processing your request.

By signing this document, I am certifying that the statements and information provided are true and accurate. I also understand that if at any time Joshua Basin Water District discovers that these statements are incorrect and that pose a health hazard, it may result in my water service being turned off. (required)

Yes

No

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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