New Scheduled Completed Withdrawn

Yes No

Last Name

Organization Name

Date Entered

Certification

Attachments

Begin typing Address and select from the populated drop-down

Outside City Limits

First Name

Property Details

Email

New Property Owner

ZIP

Signature

By signing below, I certify that all of the information provided in this application is true and accurate.

Please attach any supporting documents. (If applicable)

Phone #

Application Date

Please notify the Department of Public Works at least four (4) days before scheduling a close-out reading.
A $29.05 water service fee and $17.55 sewer service fee will be charged per quarter. A $35.00 fee is included in the final bill.

Requested By

Old Property Owner

Address

City

State

Requested Reading Date

Closing Date (Real Estate Transaction)