Coupeville, WA · Island County
Utility Hook-Up Right & Utility Connection Permit Application
Property owners or authorized agents use this application to request water and sewer hookup rights or connections for a property in Coupeville.
What this form is
This application requests water hookup rights, water connections, sewer hookup rights, or sewer connections for the property listed. It asks for owner and property details, the proposed use, requested utility services, and information about special plumbing or activities. Include an 8½-by-11-inch plot plan. The applicant agrees to follow the Town’s utility rules and signs and dates the application.
Who needs it
A property owner or authorized agent requesting water or sewer hookup rights or connections for a property in Coupeville needs this application.
How to submit it
Contact the Public Works Superintendent at 360-678-4461, extension 110, at least one week before the desired meter installation. The form does not give an application submission address.
About notarization
This application does not require a notary; the applicant signs and dates it, and the document lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Utility Hook-Up Right & Utility Connection Permit Application PDF.
- 2
Complete And Sign The Form
Enter the owner and property details, select the requested utility services, answer the special plumbing questions, and sign and date the application.
- 3
Gather The Plot Plan And Attachments
Include an 8½-by-11-inch plot plan. Commercial customers should include a cross-connection survey report; include a backflow test report if applicable.
- 4
Contact Public Works
Call the Public Works Superintendent at 360-678-4461, extension 110, at least one week before the desired meter installation.
Frequently asked questions
- What does the Utility Hook-Up Right & Utility Connection Permit Application request?
- It lets an owner or authorized agent request water hookup rights, water connections, sewer hookup rights, or sewer connections for a property.
- What should I include with the application?
- The application calls for an 8½-by-11-inch plot plan. It also lists a cross-connection survey report for commercial customers and a backflow prevention assembly test report if applicable.
- How do I submit the utility connection application?
- The form does not provide an application submission address. Contact the Public Works Superintendent at 360-678-4461, extension 110, at least one week before you want the meter installed.
- Do I need a notary for this application?
- No. The applicant signs and dates the application; it does not list a notarized or sworn attachment.
Need something notarized?
This Utility Hook-Up Right & Utility Connection Permit Application doesn’t need a notary — but if you have another Coupeville form that does, a commissioned online notary can help.