Water and Sewer Service Request - Residential

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Please correct the field(s) marked in red below:

  • For same day service, please submit your application and pay your deposit by 1:30pm. Any applications submitted after 1:30pm will have service started the next business day, unless otherwise stated.
  • Water service will be turned on between 2:00-4:00pm Monday-Friday.
  • Deposits will need to be paid by tenants prior to service starting. Payments can be made over the phone by calling 707-647-4364 or in office at City Hall. We accept Visa, MasterCard, cash, or checks.
  • A copy of your driver's license and escrow / lease agreement is required for starting service.
  • Please fill out all fields before submitting application. If a question does not apply to you, simply enter "N/A" or enter "0" in a number space.
1
Service Start Date
 *
2
Type
 *
Type
3
Name(s)
 *
4
Service Address
 *
Service Address
5
Previous Address
 *
Previous Address
6

Mailing Address

 *
Mailing Address
7
Home Phone No.
 *
8
Alt. Phone No.
 *
9
Employer Name
 *
10
Employer Phone
 *
11
Email
 *
12
Driver's License Number
 *
Driver's License Number
13
Date of Birth
 *
14
Escrow Closing Date (For Owner's Only)
15
Upload a copy of your escrow/lease agreement here:
 *
16
Homeowner’s Name or Property Management Company (For Tenants / Realtors Only)
 *
17
Homeowner’s Phone or Property Management Company Phone No. (For Tenants / Realtors Only)
 *
18
For Real Estate Agents or Property Management Companies:
For Real Estate Agents or Property Management Companies:
19
Terms & Conditions
 *
Terms & Conditions
20
Applicant’s Signature
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.