Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Sewer or Water Line Repair Permit Application

  1. This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
    Your Permit will be emailed to the email address provided below once it is processed.

    THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED.

    Right of Way permits must be applied for with the Public Works Department.

  2. Is this application for sewer line or water line repair - in yard only?*

  3. PROPERTY INFORMATION

  4. Is this Residential or Commercial?*

  5. Your application cannot be processed if the City of Wheat Ridge electronic payment form is not attached. There is specific information on the form that is needed to run the payment.
    The form is located here: Electronic Payment Form Be sure to save to your computer before attaching to this application.

  6. CONTRACTOR INFORMATION

  7. CHECK FOR TYPOS! Your permit will be emailed back to this address.

  8. CHECK FOR TYPOS! Your permit will be emailed back to this address.

  9. DESCRIPTION OF WORK

  10. Is this a sewer line or water line repair?*

  11. If no additional details, enter n/a.

  12. SIGNATURE OF UNDERSTANDING AND AGREEMENT

  13. I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit
    issued based on this application.*

  14. I understand that work may not begin on this property until a permit has been issued and posted on the property.*

  15. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above.*

  16. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both.*

  17. Must be a person's name, not the name of the company or the application will be rejected. Must be listed as a person able to pull permits for the licensed contractor.

  18. Leave This Blank:

  19. This field is not part of the form submission.