Appomattox, VA · Appomattox County
Application for Utilities Permit
Property owners and applicants use this Town of Appomattox application to request water and sewer connections for a building.
What this form is
Use this application to request water or sewer service for a building that is to be constructed, under construction, altered, or already existing, in town or out of town. It asks for applicant and property details, service types and connection sizes, and water and sewer charge totals. By signing, the applicant agrees to the town’s service rules and assumes responsibility for charges until written notice of property disposal.
Who needs it
An applicant seeking a water or sewer connection for a building in town or out of town should complete and sign this application.
How to submit it
Submit the application to Public Works at PO Box 705, 1799 Church St., Appomattox, VA 24522; the form also lists a phone and fax number. Charges are listed on the form and are subject to change.
About notarization
This application is signed and dated without a notary; the document does not identify a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Town of Appomattox Application for Utilities Permit.
- 2
Complete Applicant And Property Details
Enter the applicant names, building location, billing address, contact numbers, and requested water or sewer service and connection sizes.
- 3
Review Charges And Sign
Complete the water and sewer charge totals, review the service terms, then sign and date the applicant line.
- 4
Submit To Public Works
Send the application to Public Works at the address listed on the form.
Frequently asked questions
- What does the Utilities Permit Application request?
- It requests water or sewer connections for a building and asks for applicant and property details, service type, connection size, and charge totals.
- Who should file this application?
- An applicant requesting water or sewer service for a building in town or out of town should complete and sign the application.
- How do I submit the Utilities Permit Application?
- The form lists Public Works at PO Box 705, 1799 Church St., Appomattox, VA 24522. It also provides a phone and fax number.
- Do I need a notary for the Utilities Permit Application?
- No. The application has signature and date lines but no notary block, and it does not identify a notarized or sworn attachment or related step.
Need something notarized?
This Application for Utilities Permit doesn’t need a notary — but if you have another Appomattox form that does, a commissioned online notary can help.