Rock Island, WA · Douglas County

No notary required

Aplicación Para La Conexión De Agua / Drenaje

This application is for property owners requesting a water or sewer connection from the City of Rock Island.

What this form is

Property owners use this application to request a water or sewer connection. It asks for the owner's name, phone number, property and mailing addresses, registration and serial numbers, signature, and date. The form lists connection charges for water and sewer service inside and outside city limits.

Who needs it

A property owner seeking a water or sewer connection from the City of Rock Island should complete this application.

How to submit it

The form lists City of Rock Island at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850, and gives [email protected] as an email contact.

About notarization

This document is signed without a notary; the signer just signs and dates the application.

How to submit this form

  1. 1

    Download The Application

    Download the water or sewer connection application PDF.

  2. 2

    Complete The Application

    Enter the requested owner, contact, address, registration, and serial number information.

  3. 3

    Sign And Date

    Sign and date the application.

  4. 4

    Contact The City

    Use the address or email listed on the form to contact the City of Rock Island.

Frequently asked questions

Who uses the water or sewer connection application?
Property owners seeking a water or sewer connection from the City of Rock Island use this application.
What information does the application request?
It asks for the owner's name, phone number, property and mailing addresses, registration and serial numbers, signature, and date.
How do I submit the water or sewer connection application?
The form lists the City at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850, and provides [email protected] as an email contact.
Do I need a notary for the water or sewer connection application?
No. This application is signed and dated without a notary.

Need something notarized?

This Aplicación Para La Conexión De Agua / Drenaje doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.