New Water Service Request

Jefferson County Rural Water # 1

Water Availability Inquiry
Name*
Phone Number
Has there been a meter located at the property before?*

YesNo
If Yes, when was water service last established at this location?
What is the physical address of the property?
What are the driving directions to the property?*
Where would you want the meter located?(we do not offer any guarantee that meter will be placed where you want?
Please provide any legal description you have
Can you provide any additional details to help our field hands locate the property. Example, barns, fences, houses, gates, etc?
What will the meter be used for? If for farm, or crops please specify what kind of crops and/or livestock*
How much water do you estimate to use?*
All service requests are subject to review by the General Manager and Board of Directors. Meters Requests are dependent upon line size, number of meters on the line, and other infrastructure. No meter will be approved that will jeopardize our system. Meters must meet specifications as required by the District Board of Directors, and the Engineer.
Signature

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Jefferson County Rural Water # 1