The Shoals Application

The Shoals
Application for Sewer Service

Service Address:*

(Street Number & Name Only)

Unit Number:

Mailing Address:*

Unit Number:

City:*

State:*

Zip:*

Requested Service Start Date:*

MonthDayYear

Legal Name:*

Driver's License #:*

Driver's License State:*

Phone Number:*

Own or Rent:*

Landlord's Name:

Landlord's Phone:

E-mail Address:*

Once you have completed all of the required fields above you can submit your application by clicking 'Submit' below. A $25 application fee will be included with your first bill.

If you wish to pay by check, print this completed form and send along with a $25.00 check to:
JACABB Utilities LLC
210 W. North 2nd St.
Seneca, SC 29678