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2. Notice to Water Customers
   View Notice to Water Customers

   Before submitting this form, make sure you've reviewed our notice regarding the Cross-Connection Control Survey.
4. Property Classification*

   1. Residential
   2. Commercial
6. Name (Or Name of Business)*
8. Street Address*
10. Phone Number*
12. Please check whether or not you have the following:
14. Lawn Irrigation System*

    1. Yes
    2. No
16. Fire Sprinkler System*

    1. Yes
    2. No
18. Boiler for Heat (Not Water Heater)*

    1. Yes
    2. No
20. Is there an alternate water source (i.e. well, pond) at your location which is connected to City water?*

    1. Yes
    2. No
22. Does your business use any type of equipment with chemicals that is connected to City water?*

    1. Yes
    2. No
24. Do you have any equipment other than household appliances using water?*

    1. Yes
    2. No
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field