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New Service Application

2. This New Service Application must be completed for domestic or commercial projects which require construction of new water service facilities or modification of existing water services. This application is NOT for residential or business customers wanting to open a water service account for their home or business.
4. Applicant's Information
6. Name
7. Company
9. Development or Project Name
11. Mailing Address
13. City
14. State
15. Zip Code
17. Phone
18. Email Address
22. Service Location
24. Is there an Existing Service?
    -- Select One --YesNo
25. Service Address
27. City
28. State
29. Zip Code
33. Water Service Requested
35. Type

    1. Domestic
    2. Irrigation
    3. Commercial
    4. Fire Service
    5. Other
37. Service Size (Domestic)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
38. Quantity (Domestic)
39. Meter Size (Domestic)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch6 inch8 inch10 inch
41. Service Size (Irrigation)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
42. Quantity (Irrigation)
43. Meter Size (Irrigation)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch6 inch8 inch10 inch
45. Service Size (Commercial)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
46. Quantity (Commercial)
47. Meter Size (Commercial)
    -- Select One --3/4 inch1 inch2 inch3 inch4 inch6 inch8 inch10 inch
49. Service Size (Fire Service)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
50. Quantity (Fire Service)
51. Meter Size (Fire Service)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch6 inch8 inch10 inch
53. Please state "Other" service type
57. Existing Water Service Abandonment
59. Type

    1. Domestic
    2. Irrigation
    3. Commercial
    4. Fire Service
    5. Other
61. Service Size (Domestic)
    -- Select One --1 inch2 inch3 inch4 inch5 inch6 inch8 inch10 inch
62. Quantity (Domestic)
63. Meter Size (Domestic)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch6 inch8 inch10 inch
65. Service Size (Irrigation)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
66. Quantity (Irrigation)
67. Meter Size (Irrigation)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch5 inch6 inch8 inch10 inch
69. Service Size (Commercial)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
70. Quantity (Commercial)
71. Meter Size (Commercial)
    -- Select One --3/4 inch1 inch2 inch3 inch4 inch6 inch8 inch10 inch
73. Service Size (Fire Service)
    -- Select One --1 inch2 inch3 inch4 inch6 inch8 inch10 inch
74. Quantity (Fire Service)
75. Meter Size (Fire Service)
    -- Select One --3/4 inch1 inch1 1/2 inch2 inch3 inch4 inch6 inch8 inch10 inch
77. Other
    Please give details on "Other" service type
79. Reason for Abandoning Existing Service
83. Comments
85. Please add any comments or details pertaining to this service request.
89. If you have any questions, please email Hilton Saenz at hisaenz@mvwd.org.
Leave This Blank:


91. 1. Receive an email copy of this form.
92. Email address

    This field is not part of the form submission.

93. Submit

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