Warren Water District Basement Inspection Booking Form

Basement Inspection Booking Form

Warren Water District
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?*

YesNo
Name*

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

Street Address

Street Address Line 2

CityState

Zip Code
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

A representative from the town's Engineering Consultant (Tighe & Bond) will follow up with the final date and time for your basement inspection.
Select all dates/times you are available (Please choose multiple)

Tuesday, February 6 (Morning)Tuesday, February 6 (Afternoon)Thursday, February 8 (Morning)Thursday, February 8 (Afternoon)Monday, February 12 (Morning)Monday, February 12 (Afternoon)
Please indicate your preferred time to accompany Water dept. staff or their subcontractor during an inspection of your water service line

MorningAfternoonNo preference
Any Special Instructions
Should be Empty: