Application for water service
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- Service Account Information
- Authorized Installer:___________________________________________ Tel:________________ _____________________________________________________________________________________
- EXCAVATION FROM WATER MAIN TO CURB STOP TO BE DONE BY CONTRACTOR, HIRED AND PAID FOR BY WATER SERVICE APPLICANT.
- TOTAL ESTIMATED COST DUE BEFORE WORK TO START___________________
PO Box 1088, Enfield, CT 06083 Tel:(800)4308073
(If no street address, then parcel number and lot number must be provided
Water Service Request:
Street Opening Permit Required
(will the work require excavating within the street layout)?:
Authorized Installer:___________________________________________ Tel:________________
Name: ___________________________________________________________ Tel: ______________
Address: _____________________________ City: ___________________ State: ____ ZIP: ________
The undersigned hereby makes application for a water service account with the JEWETT CITY WATER COMPANY at the above location. When
water is furnished in accordance with this application, the undersigned agrees to pay the rates established by the Company, and to observe and
be bound by its rules and regulations and any amendments thereof.
It is understood that this contract is in force until service is discontinued, or until the applicant notifies the JEWETT CITY WATER COMPANY in
writing that the service is to be discontinued.
New service cost: (Typical 1 inch service connection, includes tap, corp, curb stop, copper to curb stop, curb box)
Service connections are actual cost of materials and labor. Cost to be provided by Jewett City Water Company.
Meter pits and larger service connections are actual cost of materials, cost to be provided by Jewett City Water Company.
FOR ALL PRIVATE WATER MAINS AND HYDRANTS THERE IS A SEMIANNUAL FIRE PROTECTION FEE.
FOR OFFICE USE ONLY
Amount Paid: _________________
Check Number: _________ Date Received: _________________
Authorized Signature: _______________________________________________________
cost after completion of work.
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