Connection to City Water/Wastewater Application

Water/Wastewater Department

You can submit and pay for your permit/application via our secure online form. Payments are processed through the Authorize.Net system which will allow you to pay with a credit card (Visa, MC or Amex).

A third-party processing fee will be added to your payment. This fee covers payment handling and processing charges incurred by Authorize.Net.

Applicant Name*
First Last
Phone of Applicant*
Email Address of Applicant*
Mailing Address of Applicant*
Street Address Address Line 2 City ZIP Code
Location of work to be done*
Indicate street address and legal property description (if known):
Approximate Date of Work*
MM slash DD slash YYYY
Excavating Contrator
Plumbing Contractor
Terms and Conditions

(1) All water and sewer connections shall be made in accordance with the Minnesota State Plumbing Code and ordinances of the City of Windom

(2) The Connection trenches must be kept open until inspected and approved by the Windom Water/Wastewater Superintendent, or his representative. The Applicant/Contractor is responsible for notifying the Superintendent when the project is ready for an inspection (831-6138)
Connection Fee
Select the services you require*
* The applicant understands that the City is responsible for the installation of service to the curb and the Property Owner is responsible for the installation of service from the curb to the residence/business.

** The applicant understand that this is a deposit for repair of the street. Should the costs for repair exceed $300.00, the applicant will be billed for the additional costs. The applicant hereby agrees to pay those additional costs.
- Connect to City Wastewater System *
- Connect to City Watermain (includes 4.88 sales tax) *
- Excavation in City Blacktop or Concrete Street **
Total Amount Due
$0.00
Acknowledgement and Agreement to Terms and Conditions of Burning Permit*
- I understand and agree to the above Terms and Conditions
Third-Party Processing Fee:*
- I acknowledge and accept that a third-party processing fee will be added to the application/permit fee made via this online form.
Credit Card*

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Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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