Required fields are marked with asterisks (*)

Contractor Inspection Request Form

By submitting this form you have confirmed that all affected customers have or will be provided with 48 hours written notice. You can download the Water Shut-off Notice here for your use. View Kitchener Utilities maps, including valves here.

Kitchener Utilities must witness all cut and caps and new connections (charges as per the Approved User Fee Schedule). Do not proceed without Kitchener Utilities staff and the Consultant Inspector.

Notes:

when calling into Kitchener Utilities Dispatch, 48 hours notice is required.
the first time slot is 8:30 a.m. and is on a first come, first served basis.
all hydrants out of service shall be called into Kitchener Utilities Dispatch by the Contractor, and hydrant rings shall be installed. Ask Dispatch for more rings if needed.
a Consultant Inspector must witness water service installation.

Project name

City/Region Project Manager name

Project address

Contact phone number

Off-site Works Permit # (if applicable)

Date requested for inspection

Time requested for inspection

Location to meet

Request type

New request

Rescheduled

New construction/development

Reconstruction

Number of crews required

Project or trench number #

Contractor information

Contractor name

Contractor email address

Contractor address

Site Foreman contact name

Phone number #

Request for

Connection – watermain

Cut and cap existing watermain

Tapping –watermain and temporary watermain taps

Tapping – service (for new services or existing service replacement)

Cutting off a service

Valve turning (if no opening of watermain, leave comment at the end of the form for reasoning)

Other

Other:

Map attachment (if possible)

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Valve numbers to be turned

Isolation location

Size and material of existing main/service

Size and material of new main/service

Comments/notes

Acknowledgement

By checking this box, I confirm that all affected customers have or will be provided with 48 hours written notice.

Personal information is being collected under the authority of s. 28(2) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used for residential water meter requests . This information will be shared with staff who require it for their work as part of Kitchener Utilities and will be stored on a server owned by a Third Party Service Provider (eSolutions Group) located in Canada. The personal information collected herein will be used only for the purposes relating to the program and will be protected in accordance with the requirements stipulated in the MFIPPA.

Inquiries about the collection, use or disclosure of your personal information should be directed to Kitchener Utilities 519-741-2529 or TTY at 1-866-969-9994.