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2. Construction Water
   -- Select One --New ConstructionDemolitionOther
3. Turn On
   -- Select One --New ServiceSeasonalRepair
4. Turn Off
   -- Select One --DemolitionSeasonalRepairTemporary Shut off
5. Remove Meter
   -- Select One --TemporaryDemolitionOther
7. Requested Service Date*

   Please provide 72 hours for requests.  Weekdays only. 

9. Please provide detail of your request: *
11. Service Time Request: *
    -- Select One --7:30am9:30am11:30am1:30pm

    Please provide 48 hours for requests.  Service calls are only available Weekdays. 

12. Second Option - Time Request:
    -- Select One --7:30am9:30am11:30am1:30pm

    Please select a second option in case the first request is not available. 

14. Requested By*
15. Phone Number*
16. Requestor Email:*
18. Property Owner*
19. Account Number*
21. Property Address*
23. Block*
24. Lot*
25. Qual
27. >Additional Information<

    There is a $50 fee for each turn on and turn off.

    **After Hours, Emergency Shut offs - call the police dept.  - Fee $150.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field