Lanesborough Water District Basement Inspection Booking Form

Basement Inspection Booking Form

Lanesborough Water District
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Water Account Number
(If known)
Email
example@example.com
Address of Water Service Location

Street Address

Street Address Line 2

CityState

Zip Code
Do you consent to having a basement inspection conducted by water system staff and/or their subcontractor to document the material type and size of your water service line?
Please select all of the dates/times that you would be available (at the water service address) to accompany Water System Staff or their subcontractor during an inspection of your water service line (select all that apply):

Morning: between 8:00am and 12:00pm

Afternoon: between 12:30pm and 4:30pm
Please indicate your preferred time to accompany Water dept. staff or their subcontractor during an inspection of your water service line
Select all dates/times you are available (Please choose multiple)
Any Special Instructions
Should be Empty: