AGREEMENT/ APPLICATION FOR TEMPORARY WATER SERVICETemporary Water Service Agreement • May 25th, 2021
Contract Type FiledMay 25th, 2021SECTION A - APPLICANT INFORMATION NAME OF APPLICANT (S) Surname First name Other PROPERTY OWNER (S) Surname First name Other COMPANY NAME Telephone Contact (1) Telephone Contact (2) E-mail Address Would you like to receive E-bills? Yes No SECTION B - PROPERTY ADDRESS Building No. Apartment No. Postal Code Lot Mile Mark LP Street Town/City MAILING ADDRESS (IF DIFFERENT FROM PROPERTY ADDRESS) Building No. Apartment No. Postal Code Lot Mile Mark LP Street Town/City SECTION C - PROPERTY DETAILS Select ALL where applicable How long have you resided on the property? 1 to 3 years 4 to 6 years 7 years and over Application for first time connection? Yes No Type of Property Ownership Private State Lands What is your source of Water