Selinsgrove, PA · Snyder County
Application for Connection Permits
Property owners use this application to request permits for connecting premises to Selinsgrove’s sanitary sewer system, water supply system, or both.
What this form is
This application requests permission to connect a property’s domestic drainage to the Selinsgrove Sanitary Sewer System, water service to the Selinsgrove Water Supply System, or both. It asks for the owner and premises details, sewer classification and fixtures or employees, and water tap size. The applicant agrees to follow the stated rates, tariffs, ordinances, and system rules; connections must be made in the presence of an authorized Borough representative.
Who needs it
An owner seeking a sanitary sewer connection, water service connection, or both for the premises identified on the application needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the applicant agrees to the stated terms and signs, and no sworn attachment or notarized step is identified.
How to submit this form
- 1
Download The Application
Download the Application for Connection Permits PDF.
- 2
Complete The Application
Enter the owner and premises details and provide the applicable sewer and water connection information.
- 3
Gather Attachments
The form does not identify any attachments to gather.
- 4
Submit To The Borough
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Application for Connection Permits request?
- It requests permission to connect premises to Selinsgrove’s sanitary sewer system, water supply system, or both, and collects details about the owner and proposed connections.
- Who should complete this application?
- The application is for an owner of premises seeking a sewer connection, water service connection, or both. It includes spaces for the premises location and connection details.
- Do I need a notary for the Application for Connection Permits?
- No. This document is signed without a notary; the applicant agrees to the stated terms and signs, and no sworn attachment or notarized step is identified.
- How do I submit the Application for Connection Permits?
- The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.