Form Center

2. 

4. Email the Cross Valley Water Department.

6. Purpose of a Water Inquiry

   The purpose of this request is to provide the applicant with a written response that describes whether Cross Valley Water District water services are existing/available at the parcel or property. Charges will apply for a letter of availability for Snohomish County Permitting or Department of Health.

8. District staff will research the infrastructure to the property and identify the availability and fees. The process takes approximately 5 to 10 business days to complete.
10. Applicant Name:*
11. Phone Number*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Email address:*
21. Applicant Type*
    -- Select One --AgentOwnerPurchaser
23. Address of Inquiry:*

    If "Unknown" per Snohomish County put unknown

25. Tax Parcel Number*
26. Lot Number (if available)
28. Tax Parcel Notes:

    If you have notes regarding address or parcel number please include it here

32. New or Existing service?*
    -- Select One --NewExisting Cross Valley Service
34. Request is for New Service:
    -- Select One --Single Family ResidenceSingle Family Residence with ADUMulti-FamilyCommercialOtherN/A-this request is for Existing Service
35. If "other" please explain:
37. Request with Existing Service is for:
    -- Select One --Single Family ResidenceCommercialAdditional UnitMulti-FamilySeptic ReplacmentOtherUpgrade Meter SizeN/A-this request is for New Service
38. If "other" please explain:
40. Additional Unit Policy
    Additional Unit Policy
42. Meter Size*

    Meter size is based on usage or your requirements. 

    *Most SFR are served by either a 5/8" or 3/4" meter, unless FIre supression is required

    1. 5/8" - 20 gal/min
    2. 3/4" - 30 gal/min
    3. 1" - 50 gal/min
    4. 1.5" - 90 gal/min
    5. 2"- 120 gal/min
    6. Other
43. If "Other" please explain:
45. If requesting meter over 1", what is your estimated peak usage, in gallons, per day?
49. Additional Parcel Information:*

    Please check all that may apply

    1. Well on Property
    2. Parcel Currently Served from Another Water Source
    3. Addition or Construction
    4. Septic Replacement
    5. Other
    6. None
50. If "Other" please explain:
54. Additional Project Information:*

    Please check all that may apply

    1. Fire Sprinkler System - Type Unknown
    2. Fire Sprinkler System - Open (flow thru)
    3. Fire Sprinkler System - Closed
    4. Irrigation System
    5. Pool
    6. Well on Property
    7. Parcel Currently Served from Another Water Source
    8. Other
    9. None
55. If "Other" please explain:
57. Please provide a brief description of the project and intended use of water. Additional Information may be required:*

59. If available, please upload any documents that would help us understand your project to Develop@crossvalleywater.net after you have filled out this form.

65. Upon completion of request, please select how you would like it returned:*
    -- Select One --EmailedMailedFax
67. Name & Address, Email Address or Fax #*
69. Is a Preliminary Letter of Water Availability Needed to Submit to Snohomish County/Deptarment of Health?*
    -- Select One --NoYes

    The $100.00 fee for letter is due before letter will be released

71. Please allow 5-10 business days to process your request

Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field