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Sewer Permit-Residential

  1. Borough Logo
  2. Residential Application for Sewer Permit (single family dwelling)
  3. Municipality*
  4. Render bills to (during construction)*
  5. Is a new connection to the main required?*
  6. I hereby make application for a service connection to the sewage collection system of the Borough of Ephrata for the property described above. I fully understand and agree to adhere to all terms and conditions of the Code of the Borough as they relate to the sanitary sewer system.
  7. By entering your name and date above, you are signing this form and agreeing to all the terms and conditions of this application.
  8. Leave This Blank:

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