Inspection Verification for Sewer Service Connection


  1. PRIOR TO COVERING THE CONNECTION, this form must be signed by the District Representative.
  2. Please call Operations 24 Hours in advance at 208-290-5979 to arrange for your inspection. The 24 hours does not include weekends or holiday. A $250.00 PENALTY will be assessed if the District Representative has not inspected the connection prior to covering.  Costs to excavate for inspection will be at owner expense.
  3. LOCATE DEVICES for the building service line are required to be installed at the property line.
  4. PRESSURE LINE CONNECTIONS must comply with requirements on a separate form.
  5. Shared lateral connections are not allowed.
  6. The State of Idaho Plumbing Division Inspection form is required in addition to this form. It is a separate Entity.

OFFICE USE ONLY

Estimated Date of Occupancy: ____________________________

Stubbed up: (Y/N) _________          On Line: (Y/N) _________

Comment: ______________________________________________________________________________________

__________________________________________________________________________________________

CURBSTOP:  (  )  ON _____          (  ) OFF _____ (Applies to Pressure Systems only)

I certify that this sewer connection has been installed as shown above, and that I have inspected and approved the connection on this date. 

Date: ____________________________         Wastewater Operator: ___________________________________


Please complete the following.

BID#
 

Property Owner:

Contact Person / Phone #

Location or Street Address

Excavator (if known)

Town or Area: BLK#  LOT#  

RP PARCEL NUMBER:  EST. START DATE:  

DATE HOOK-UP PAID:  

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Inspection Verification for Sewer Service Connection
lock iconUnique Document ID: 56a7a2192140d038eee67a0673ac29a4e907869c
Timestamp Audit
March 18, 2020 3:27 pm PSTInspection Verification for Sewer Service Connection Uploaded by Colleen Johnson - [email protected] IP 156.146.51.79
March 19, 2020 8:30 am PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 38.146.75.102
April 3, 2020 9:35 am PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 38.146.75.102
April 3, 2020 9:35 am PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 38.146.75.102
June 17, 2020 1:25 pm PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 38.146.75.18
June 17, 2020 1:26 pm PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 38.146.75.18
October 5, 2022 12:45 pm PSTLaura Dallas - [email protected] added by Colleen Johnson - [email protected] as a CC'd Recipient Ip: 156.146.51.79