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Upon completion of this form, you will automatically be directed to the required Utility Billing/Natural Gas Documents form. Upon submitting that form, you will be automatically directed to the COSESCO Application and SWPPP Checklist, which is a required form for single-family residential projects. Thanks!
The following file uploads are required as a part of completing this application. If this is an issue or upload problems arise, please call 515-978-9533.
I declare that to the best of my knowledge all of the information given in this application is true and correct, and further agree that all work done under this permit will be done in compliance with all applicable City codes, ordinances, rules and regulations.
*NOTE: If the property owner will be responsible for utility bills, they must sign up for an account in the Utility Billing office at 230 W. Hickman Road.
That in consideration of the City of Waukee running pipeline and furnishing meter and regulator to my residence, I hereby agree with the City of Waukee, Iowa, to connect a major gas-burning fixture or appliance within a period of one hundred twenty (120) days of the date service was installed and made operable upon my premises. I also agree to install interior piping in compliance with the 2015 International Fuel Gas Code.
The undersigned does hereby grant and convey unto the City of Waukee, its successors and assigns, a perpetual easement and the right of way to construct operate, inspect, repair, maintain, replace and remove, in whole or in part, pipelines and appurtenances thereto, with ingress to and from the premises, on, over and through the premises constituting the address for which application for gas service is hereby made.
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