Rock Island, WA · Douglas County

No notary required

Application for Water / Sewer Connection

Rock Island property owners use this application to request a water or sewer connection and provide property, meter, and contact information.

What this form is

This application is for property owners requesting a water or sewer connection in Rock Island. It asks for the property owner's name and phone number, meter and mailing addresses, meter serial and register numbers, and a signature and date. The form also lists connection fees for locations inside and outside city limits.

Who needs it

Property owners requesting a water or sewer connection in Rock Island need this application to provide property and meter details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form provides the city's address and contact information.

About notarization

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

How to submit this form

  1. 1

    Download The Application

    Download the Water / Sewer Connection Application PDF.

  2. 2

    Complete The Application

    Provide the property owner, phone, meter address, mailing address, meter serial number, and register number.

  3. 3

    Sign And Date

    Sign and date the application.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Water / Sewer Connection Application request?
It asks for the property owner's name and phone number, meter and mailing addresses, meter serial and register numbers, and a signature and date.
Who uses this application?
Property owners requesting a water or sewer connection in Rock Island use the application to provide property and meter information.
Do I need a notary for the Water / Sewer Connection Application?
No. This application is signed without a notary; the property owner just signs and dates it.
How do I submit the Water / Sewer Connection Application?
Submit it to the city department named on the form; check the city website for current contact details. The form provides the city's address and contact information.

Need something notarized?

This Application for Water / Sewer Connection doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.