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Water Meter Installation Application

  1. This address would be provided by the Building Department along with the Building Permit Number
  2. Account Type:*
  3. Location:*
  4. Water Meter Status Upon Install*
  5. Please provide information that may be important
  6. I understand that a deposit must be made before this application can be processed*
  7. Installation Process:
    The installation of your meter will usually take two weeks from the time of your meter purchase
  8. Initial Cross Connection Survey
    As part of our on-going efforts to ensure the safety of your drinking water, we are required to protect our system against cross connections. As described in the enclosed brochure, cross connections are connections between the drinking water plumbing and a source of contamination. Cross-connections can make our drinking water unsafe. The purpose of this questionnaire is to help determine if you have any special plumbing or activities that pose an increased risk of contamination to our water system. Please fill out the following questionnaire and check the appropriate boxes below:
  9. My residence has or will have:*
    Check all that apply
  10. My non-residential location has or will have:*
    Check all that apply
  11. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  12. Leave This Blank:

  13. This field is not part of the form submission.