Commercial Building Water Service Application The Undersigned,(Required) First Last being the owner or owner's agent of the property located at:(Required) 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 Name of Business Lot Block 10 digit TMS number(Required) numbers only no dashesdoes hereby request a permit to install and connect a building water tap to serve the said location. Commercial UnitsBusiness(Required) Bar (Lounge) Bowling Alley Car Wash Church Factory Laundromat Motel/Hotel Office Office Building Restaurant School Shopping Center Amenity Center Swimming Pool Apartment Townhouse Other: (Specify) Other(Required) Please input a zero in the following fields if they do not apply to your locationNo. of Seats(Required)Please enter a number greater than or equal to 0.No. of Lanes(Required)Please enter a number greater than or equal to 0.No. of Employees(Required)Please enter a number greater than or equal to 0.No. of Employees(Required)Please enter a number greater than or equal to 0.No. of cars washed/day(Required)Please enter a number greater than or equal to 0.No. of Separate Units(Required)Please enter a number greater than or equal to 0.No. of Students(Required)Please enter a number greater than or equal to 0.No. of Machines(Required)Please enter a number greater than or equal to 0.No. of Rooms(Required)Please enter a number greater than or equal to 0.Square Feet(Required)Please enter a number greater than or equal to 0.Occupancy Capacity(Required)No. of Units(Required)No. Bedrooms(Required)Per Unit(Required)Meter Size(Required) - No. of irrigation heads - GPM Rating of each head - Run Time Duration - Name and address of person performing the proposed work(Required) I agree to submit an irrigation plan showing: - No. of irrigation heads - GPM Rating of each head - Run Time Duration - Name and address of person performing the proposed workIN CONSIDERATION OF THE GRANTING OF THIS PERMIT, THE UNDERSIGNED AGREES:1. To accept and abide by all provisions of Chapter #65 of the Berkeley County Code of Ordinances, and of all other pertinent ordinances or regulations that may be adopted in the future. 2. That if building is expanded or if any change in the use of the building or establishment increases the unit contributory loading (wastewater flow) beyond that which has hereby been approved by BCWS, I shall be required to pay additional impact fee(s) for the increased loading, based on current impact fees. 3. To maintain the private building water system and lines at no expense to BCWS. 4. That I understand that each individual business establishment or each business establishment within a commercial complex, must pay a separate water impact tap fee, have a separate water meter and a separate water service account. 5. To notify BCWS 24 hours in advance when requesting inspection of the connection of the building to the public water, but before any portion of the work is covered.Meter Set Inspection Fee:Please enter a number greater than or equal to 0.Water Connection Fee:Please enter a number greater than or equal to 0.Additional tap construction fee:Please enter a number greater than or equal to 0.(if applicable)Property impact tap fee:Please enter a number greater than or equal to 0.Your submission of this document ensures that you understand and agree to the requirements concerning this issue and all other information on this document.Phone(Required)Email(Required) Mailing Address Same as above property address 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 CAPTCHA
