URLThis field is for validation purposes and should be left unchanged.This is an application to Columbia Power and Water Systems (CPWS) to evaluate the request for water service for the property set forth in this application, for any parcel of real property requiring new or increased service, or requiring a public water line extension. This application package consists of this application form, a fire flow letter from the Columbia Fire & Rescue Fire Marshall, and a digital copy of the site plan of the project (developed in CAD/GIS and submitted in PDF format, no hand-drawn plans will be accepted). All of these documents must be provided to CPWS before any action will be taken on this application.Project NameProject LocationTax Map & Parcel Number(s) Is this part of a larger development? Located within City limits? Approved by the development board? Section/Phase numberApproximate date water service is desired Please indicate the primary contact for coordination with CPWS (provide contact info for all) Developer Owner Engineer Developer NameAuthorized RepresentativeTitleContact info for Authorized RepresentativeAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TelephoneEmail Property Owner Name (if different)Authorized RepresentativeTitleAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TelephoneEmail Engineer/Company NameContactTitleAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TelephoneEmail For Residential ProjectsNumber of Single-Family units, this phase (townhome or SFD)Total number of planned units (for multi-phase projects)For Multi-Family Units OnlyNumber of 1-bedroom unitsNumber of 2-bedroom unitsNumber of 3-bedroom unitsNumber of 4-bedroom unitsPlease describe any additional amenities needing water service (pool house, irrigation for common areas, etc.)For Commercial/Institutional ProjectsFlow and residual pressure required for each type of service:FireIrrigationFor each building, please indicate number of stories and square footage of each use typeFor example: Building 1 - 2 stories Building 1 - 1st Floor - Daycare - 5,000 SF Building 1 - 1st Floor - Coffee Shop - 2,000 SF Building 1 - 1st Floor - Retail - 3,000 SF Building 1 - 2nd Floor - Offices - 10,000 SF Building 2 - 3 stories Building 2 - Offices - 30,000 SFUpload documents Drop files here or Select files Max. file size: 100 MB.
