City of LaFayette
LaFayette, Georgia
Water tap application
Date of application: Day _____ Month _____ Year _____
Name: __________________________________ Phone: _________________
Location of requested water service: ______________________________________
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Type of service: Residential _____ Other _____
Commercial _____ Industrial _____
This is only an application for water service and can only be approved pending investigation by the Water Department personnel.
Please note: All new water services installed on the City of LaFayette water system will have a back flow preventer as part of the installation in accordance with our cross-connection control program; therefore, each customer must have a thermal expansion devise properly installed to protect their hot water heater against thermal expansion.
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Applicant's signature
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Water Department recommendation: _________________________________________
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Checked by _________________ Water superintendent __________________
Revised August 2004
Return to Administration.