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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.

   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

* indicates a required field