test Availability Request Form Name(Required) First Last Email(Required) Phone(Required)Company Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you the property owner?(Required) Yes No If no, please provide property owner(s) name: Property InformationTax Map Number(s)*(Required)Type of Property(Required) Residential Commercial Will the property be subdivided?(Required) Yes No If Yes, Total Number of Lots Note: If the property will be subdivided, please email a copy of the proposed plat to hoffmand@jipsd.org.After submitting this form, for the following types of commercial buildings, email the items requested to David J. Hoffman, Jr. (Director of Wastewater Services) at hoffmand@jipsd.org.For Restaurants: - Application for a grease trap - Copy of the seating chart and menu - Square footage of the building(s) - A set of the design drawings. For All Other Commercial Buildings: - Number of employees expected - Square footage of the buildings(s) - A set of design drawingsPlease provide any additional information that will be important to know about the property/properties:NameThis field is for validation purposes and should be left unchanged.
