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Water Permit-Commercial

  1. Borough Logo
  2. Commercial/Industrial Application for Water Permit (including multi-family)
  3. Municipality*
  4. Render bills to (during construction)*
  5. Is a new connection to the main required?
  6. Will the wall of the structure be located 100 ft. or more from the street line?
  7. If requested size is over 3/4", please provide average daily flow in Gallons/minute in the field above.
  8. I hereby make application for a service connection to the water distribution system of the Ephrata Area Joint Authority. The connection is requested to provide service to the property described above. I fully understand and agree to adhere to all terms and conditions of the Ephrata Area Joint Authority's current Rules and Regulations.
  9. Notes: 1) Please allow 5-7 business days for permits to be processed and issued. 2) All water fees are due when the permit is picked up. 3) A copy of the permit will be provided when fees are paid.
  10. By entering your name and date above, you are signing this form and agreeing to all the terms and conditions of this application.
  11. Leave This Blank:

  12. This field is not part of the form submission.