Sanitary Sewer Tap-In Application

Applicant Information

Applicant Name

First Last

Phone

Applicant Address

Street Address City State ZIP Code

Property Information

Property Address

Street Address City State ZIP Code

Lot Block

Suite

Lot Number

Development

General Information

Is this application for a new structure:

Is this application for an existing structure:

Is this application for a change in use:

If this application is to occupy an existing structure have there been any structural changes

Type of use proposed

The applicant certifies that the above information is complete and true and correct to the best of the applicant's knowledge and belief.
The applicant agrees to comply with the provisions of Oakmont Borough Ordinances, Codes and Regulations, and all other applicable laws and regulations of Allegheny County, Commonwealth of Pennsylvania, and the United States, whether or not specified in this application.
THE APPLICANT AGREES THAT IF A PERMIT IS ISSUED, THE PERMIT MAY BE REVOKED BY ADMINISTRATIVE ACTION OF OAKMONT BOROUGH IF COMPLIANCE WITH THE FOREGOING PARAGRAPHS AND REFERENCES ARE NOT ABSOLUTE.

Signature of Applicant

Date of Application

Fee: $3,000.00 per E.D.U.

Total Fee Paid

Oakmont Borough Office