Skip to content
Jefferson County Public Utility District
Outage Map
1-360-385-5800
Email
Outages
Search
Search
1-360-385-5800
Email
My PUD
Customer Service
Service Applications
Payment Assistance
Online Bill Pay
Rainy Day Donations
Meter Opt-Out
Close
Electric
Rates for Electricity
Outage Info
Trees and Streetlights
Emergency Prep
Safety Near Electricity
Infrastructure/Metering
Close
Water/Sewer
Rates/Specifications
Water System Planning
Water Quality and Safety
Water Saving Tips
Wastewater & Septic
Close
Broadband
About Broadband
Project Areas
Home Internet
Business Internet
Broadband FAQ
PUD WiFi Hotspots
Close
Sustainability
Clean Electricity
Efficiency Rebates
Solar/ Net Metering
Energy Saving Tips
GO PAPERLESS!
Close
About Us
Mission, Vision & History of the PUD
Current Projects
Commissioners
Management & Staff
Job Opportunities
Recent News
Event Calendar
Close
Records/Data
Meeting Archives
BOC Resolutions
Financials & Budgets
District Policies & Agreements
Contractor Information
Public Records Request
Close
Search
Search
Water Service Application
Project Information:
Name
(Required)
First
Last
Phone
(Required)
Service Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parcel Number
(Required)
Type of Service
(Required)
Residential
Commercial
Industrial
Agricultural
Other
Other Service
(Required)
Type of Structure
(Required)
Permanent
Mobile
Travel Trailer
Other
Other Type of Structure
(Required)
Desired Service Date
(Required)
Month
Day
Year
Meter Box Already Installed?
(Required)
Yes
No
Meter Size
(Required)
Standard 5/8"
Other
Other Meter Size
(Required)
I hereby request service as noted above. I understand that I must submit the following fees in advance of service:
System Development Charge (SDC)
(Required)
Meter Charge
(Required)
Full Install (Meter Cost Included)
(Required)
Other Charge (Description)
Other Charge (Fee)
Total Fees
I understand that I will be required to provide my own plumbing from the water meter or sewer connection to the buildings(s). Specific system regulations may specify the type and size of plumbing fixtures required. All systems are governed by general and specific policies, rules, and regulations and I hereby agree to said policies, rules, and regulations. Copies of District policies are available upon request.
The District office must be notified of time and date of hookup to ensure that District personnel can be present for inspection.
Please submit a plot plan showing measurements, locations of buildings and any other information. Any questions or concerns please call 360-385-5800.
Additional Files/Documents
Drop files here or
Select files
Max. file size: 128 MB.
Authorized Signature
(Required)
Date
(Required)
Month
Day
Year
CAPTCHA
Please ensure Javascript is enabled for purposes of
website accessibility