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

NOTE: Your application will be processed once Part 1 and Part 2 have been submitted to Department of Public Safety, Technical Inspection Services.

* 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 #:
IF YOU HAVE ENTERED ALL RELEVANT INFORMATION, CLICK ON "ADD TO BASKET"
(ONLY ONCE) TO SUBMIT YOUR PAYMENT.
YOU MAY PRINT A COPY FOR YOUR FILES USING YOUR BROWSER'S PRINT FUNCTION.