Background: In order to increase national competitiveness, the government had been proactively building sewers in cities and counties across Taiwan. The sewers not only improve the hygienic conditions of the cities, but also prevent river pollution. The sewer is one of the essential public facilities in modern cities. The number of sewer connections is an important indicator for evaluating the quality of life across different countries. Purposes: This study aims to investigate the impacts, perceptions, the degrees of satisfaction and loyalty among the households that agree to have sewer connections. Meanwhile, genders, ages, occupations, degrees of education, family sizes, annual family incomes, the impacts of house ages on sewer connections are also taken into account to see if they are significantly influence the impacts, perceptions, the degrees of satisfaction and loyalty among the households that agree to have sewer connections. Methods: Questionnaires was used to survey the apartment households in Xizhi District. There are 500 questionnaires were returned, with a returned rate of 96.2%. Scores 1-3 was used to collect data. Survey period was conducted between December 1st 2013 and December 31st 2013. Results: The results showed that the impacts of the sewer connections on the households average score was 2.54, the perceptions of the households score 2.31, the degrees of satisfaction score 2.33, and the degree of loyalty score 2.35. Overall, the average score reaches 2.38, which means that the households were satisfied with the policy of building sewer connections. The research results validated the hypothesis that different genders, ages, occupations, education levels, family sizes, annual family incomes, house ages had significantly influenced the policies, perceptions, the degree of loyalty, the degree of satisfaction, and overall satisfaction. Conclusions/Implications for Practice: The ultimate goal of this study allowed users to affect the takeover sewage works. From the policy marketing exhibits a high degree of positive effects over the degree for perceived value and satisfaction and the degree of loyalty. Therefore, the government should strengthen policy marketing, and the general public should be willing to accept the inconvenience of the construction process and a partial loss of vested interests so that the construction can continue efficiently at lower costs to the society in exchange for a clean, healthy, and pollution-free living environment in the long run.