Pittsburgh Water

Party Waterline Separation Permit

May 25, 2023
submission #20
Application

Primary Property Information (typically where meter is located)

Property Address 35 Vespucius St, Pittsburgh PA 15207-1841
City Ward Ward 5
Allegheny County Lot/Block #
Owner's Name ---
Phone Number ---
Email Address [email protected]
Is the applicant someone other than the property owner? ---
Project Description ---

New Meter Connection Information

Address for New Connection ---
Property Owner Name ---
Mailing Address ---

Applicant Information

Applicant Name ---
Company ---
Phone Number ---
Email Address ---
Terms and Conditions Agreement

Acknowledgement and False Swearing Statement

I have read and understand the terms and conditions associated with this permit as outlined in the PWSA Tariff, Developer's Manual and Standard Details.. I verify that the statements made in this Application are true and correct to the best of my knowledge, information, and belief. I understand that false statements in this Application are made subject to the penalties of 18 PA C.S.A. ยง 4904 relating to unsworn falsification to authorities. ---
Water and Sewer Maps

Meter Information

Meter Size ---