Water & Sewer New Customer - Owner Form

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Water and Sewer New Customer - Owner

UTILITIES OF A RENTAL AND/OR A LEASE WILL STAY IN THE OWNERS NAME AND ADDRESS. ALL OUTSTANDING BALANCES MUST BE PAID BEFORE SERVICES WILL BE TRANSFERRED TO THE NEW OWNER.

Property Location

Street address:*

Subdivision and lot number:

Owner Information

Account number:

Name:*

Phone Number:*

Mailing Address:*

City:*

State:*

Zip Code:*

E-Mail:*

Employer:*

Employer Address:*

City:*

State:*

Zip Code:*

Emergency Contact Name:*

Emergency Contact Phone Number:*

Property is (check all that apply):*

New constructionCommercialResidential

Title company:*

Closing date on property:*

Signature:

I acknowledge by my signature that the records sought by this request will not be used for a mailing list or telephone lists and will be follow the regulations as set forth in Idaho Code §74-120.

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Water & Sewer New Customer - Owner Form

Departments

Water and Sewer New Customer - Owner

Property Location

Owner Information