Type Full Name :
Sign With Hand
Is Backflow Preventor Present?
Name
Other
Owner Details

Please provide the following information which must be obtained by a certified plumber:

Email

A copy of the plumber's license and any documentation regarding the lead test must be attached to this form. Anyone caught falsifying or skipping this certification will be subject to penalties, as well an automatic failure/dis-issuing of the CCO.

Galvanized
Phone #
Lot
Do You Have Sprinkler Accounts?
Attachments

All questions regarding this form should be directed to Water Administrator Howard Levison at hlevison@southorange.org or 973-378-7715 x7760.

City, State, Zip
License Number
{[PNAME]}
Email
Brass
PVC
Copper

** To Close Your Account ** -  Either just prior to or at closing, call South Orange Water Utility Customer Service @ 1-855-722-7072 to schedule closing your water account on desired date. Your meter will be read remotely and an invoice created based upon the reading obtained.

(Note: new owner will need to provide proof of ownership and a zero balance to open a new account. A real estate attorney can advise buyer on establishing a new account).

B: Service Line Material at point of entry to residence:

A: Sprinkler Accounts 1.  (lawn and fire) require certification of Backflow preventers.

Address
Address Details
Fire Sprinkler Account Number
Phone #
Plumber Details
Signature
Lawn Sprinkler Account Number
City, State, ZIP
Is Backflow Preventor Present?
Lawn Sprinkler
Mailing Address
Upon approval of this checklist you will receive a confirmation number via email which will allow you to complete the Certificate of Continued Occupancy Application.
Water Account Number
Lead

1. These may not be separate accounts with separate meters, and may be connected to the domestic water feed, but they must have a backflow preventer installed prior to the connection requiring certification.

 

Name
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address
Fire Sprinkler
Block
Begin typing address and select from the populated dropdown
Water Account Details