Application to Install an On-Site Sewage Disposal System
$150.00

NOTE: Your application will be processed once the application has been submitted to the Department of Justice and Public Safety, Technical Inspection Services.
[email protected]

* Mandatory fields
Section 1: Applicant Information
* Application Date:
* Name of Licensee
* License Number
Mailing Address of Licensee
* Street:
* City, Town or Village:
* Province:
* Postal Code:
* Telephone (Work):
  Telephone (Home):
  Telephone (Cell):
  Preferred Language: French   English
Section 2: Property Information
* Property Location:
(i.e: detailed directions including
landmarks, flags, closest civic #)
  Subdivision Name:
* PID:
* Property Owner:
  Lot #:
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