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Sump Pump Fee Waiver Certification Form

  1. Sump Pump Fee Waiver Certification Form

  2. The account number appears at the top of the monthly utility bill.

  3. Utility bill account number

  4. 1. The undersigned homeowner (occupant) verifies at (for the property listed) a sump pump does not exist or is only capable to discharge water outside.

  5. 3. The homeowner agrees that if they install a connection to the sewer system that they will notify the City of West Fargo of this change, by filling out a seasonal sump pump variance form.

  6. 2. If a sump pump is present at the property a photo showing no connection to the sewer system must be submitted with this form.

  7. 4. City of West Fargo Ordinance 9-0328 will be enforced and the undersigned homeowner (occupant) agrees to all conditions as listed in City of West Fargo Ordinance 9-0328.

  8. Upload a photo showing no sump pump is present at this property.

  9. Certification*

  10. Leave This Blank:

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