City of Rocky Mount Inspection Services
BUILDER'S EXPRESS UTILITY SERVICES APPLICATION
Instructions
: Complete all pertinent fields, then read the information at the bottom of the form. Click the
Submit
button to send the information; click
Clear
to start over.
Builder Express ID Number:
Date of Application:
Date Services Needed:
Service Address:
City:
State:
Zip Code:
Services Needed:
Gas
Electric
Water
Sewer
Items Needed:
Temp. Pole
Gas Line
Sewer Tap
Water Tap: ¾"
1"
Meter/Box: ¾"
1"
Water Meter: ¾"
1"
Comments/Special Instructions:
Only local residential builders in good standing with the City of Rocky Mount are eligible for this program. Contact Inspections at (252) 972-1350 with questions.
Builder Signature (print your name)
*
Date
*