Goodyear

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Intent to Serve Request

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Please use this Intent to Serve Request form to determine if the property in question is within the City of Goodyear service area or if a commitment from the City to serve an area outside of the City’s service area is required. This form is not intended for Maricopa County Environmental Services Division (MCESD) Approval to Construct (ATC), Sewer Capacity, Sanitary Facilities for a Subdivision (Health Certificate), or Sewer availability requests.

First Name *

Last Name *

Address *

City *

Zip Code *

Phone *

Email *

First Name *

Last Name *

Address *

City *

Zip Code *

Phone *

Email *

Please check the box(es) for exactly what you are requesting.

Intent to Serve - Water from City of Goodyear

Intent to Serve - Sewer from City of Goodyear

Other

Briefly describe the reason you are making this request: (Example reasons: At the request of MCESD for a septic permit, at the request of a lender for a bank loan, etc.)

Address *

Major Cross-Streets *

Assessor’s Parcel No *

Water is currently provided by *

Additional Information

Created by AIPSS

Goodyear

Intent to Serve Request

Information

Contact Information

Legal Owner/Agent

Details

Property Address Information