APPLICATION

Application to begin Water & Sewer service.

SERVICE STREET ADDRESS (Required)




CITY (Required)

STATE (Required)

ZIP CODE (Required)

PRIMARY FIRST NAME (Required)

PRIMARY LAST NAME (Required)

DATE ESCROW CLOSED (Required)

PRIMARY PHONE (Required)

PRIMARY EMAIL (Required)




JOINT FIRST NAME

JOINT LAST NAME

JOINT PHONE

JOINT EMAIL

TYPE OF WATER SERVICE (Select One)
IndividualBusiness

IS THE PROPERTY (Select One)
Owner OccupiedRental Property*

*If property is a rental: Service is to remain in the property owner's name and address. Renters can contact the district to obtain account balance and/or to pay the bill.

BILLING ADDRESS or P.O. BOX

CITY

STATE

ZIP CODE

As owner of the real property listed above, I understand I am responsible for any unpaid debts that may accrue through the use of District water consumed/used on the property, including but not limited to renter or lessee. As property owner I acknowledge and agree that the water service is provided in conformance with the Rules & Regulations as amended time to time by the Board of Directors.


Meters are read on or around the 25th of each month. Bills are sent out the LAST day of the month. Payments are due by the 10th of each month & can be made by Check or Cash only. Please contact the District to check for rates.