ContractWater and Sewer Service Agreement • August 13th, 2018
Contract Type FiledAugust 13th, 2018BELMONT COUNTY WATER & SEWER DISTRICT P.O. BOX 457 ST. CLAIRSVILLE, OH 43950 PH: 740-695-3144 FAX: 740-695-3411 This contract application by and between the Belmont County Water and Sewer District, Belmont County, Ohio and Name Date Mailing Address Phone Location Address (If Different) Property Owner E-mail Address Account Number Bills Mailed/Due Automatic Payment Available 1) Federal Government Equal Opportunity Race and/or national origin solicited on this application is required to assure the Federal Government, acting through Rural Development and the Environmental Protection Agency, that Federal Laws prohibiting discrimination are in compliance. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you. However, if you choose not to furnish it, the (Belmont County Sanitary Sewer District) is required to note the race/national