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Water Connection Application

  1. IMPORTANT NOTE: Prior to submittal of a Water Connection Application, the applicant must read the Water Connection Guidelines.

    The applicant shall:

    • Complete and submit the Water Connection Application below.
    • Attach a copy of the stamped and approved Menlo Park Fire Protection District (MPFPD) plans.

    The City shall review the application and plans submitted, and the following steps will occur:
    • The City will begin the process of determining appropriate fees for the requested connections.
    • If the water service line will be replaced, the owner shall hire a Class A contractor to perform the work within the public right-of-way. The contractor shall obtain an encroachment permit and fulfill all permitting requirements with the City.
    • Once fees are determined, the City will send a fee invoice to the applicant for payment.
    • The applicant shall pay the fee at City Hall (address below). Bring a copy of the fee invoice with you.

    City of Menlo Park

    City Hall (front counter)

    701 Laurel St., Menlo Park, CA 94025

    650-330-6704

    Front counter: Deposit to 861-20601-1791

    • Once we receive payment, the City will authorize the work and provide applicable contact information.

  2. I have read and understood Water Connection Guidelines*

  3. Type of service (select one)*

  4. Residential fire service - applicant will install (select one)*

  5. If you will be replacing the service line between the water main and meter*

  6. For more information regarding this application, please contact Assistant Engineer Eric Hinkley.

  7. Notes

    Backflow prevention assemblies must be installed per City Standards, tested by a tester listed on San Mateo County’s Environmental Health’s list of Certified Backflow Prevention testers, and tagged with a County tag. For more information, please contact Kate Elgin at 650-399-6919.

    Prior to initiating water service, the owner must test all backflow prevention assemblies and submit passing test results to Menlo Park Municipal Water or visit the San Mateo County Cross Connection Control Program.

  8. Leave This Blank:

  9. This field is not part of the form submission.