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2. 

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

   New Construction - Sanitary Sewer 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. Subdivision:
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. Lavatories
25. Kitchen Sinks
26. Garbage Grinders
27. Water Closets
29. Urinals
30. Bath Tubs
31. Water A/C
32. Showers
34. Laundry Tubs
35. Other (please describe)
37. Name of company performing plumbing work:*
39. 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) No roof drains, field tile, or sump pump discharge will be connected to the sanitary sewer. 4)  I will notify the Building Department when the sewer line is ready for inspection and connection to the public sewer has been made, but before any portion of the work is covered. 

    1. I agree.
43. Office Use Only:

    A connection fee of $__________ was paid on __________.

    
    

    Application approval and permit issued by ____________________ Date __________.

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field