Basement Inspection Booking Form
Town of Great Barrington Water Department
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Water Account Number
(If known)
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you consent to having Tighe & Bond, on behalf of the Great Barrington Fire District, to provide an in-person inspection of your home or business, as to whether or not your water service has lead containing materials? This inspection will typically require access to your basement, so we will need a responsible adult in your household at the time of the scheduled inspection. Inspections take typically take 10 to 20 minutes, depending on accessibility to your water meter.
*
Yes
No
Please indicate your preferences for scheduling an inspection at the water service address including days and times that generally work for you. Note that an adult 18 years or older will need to be present during the inspection. Due to currently available resources, a limited number of inspections will be conducted. If you are selected, we will call and/or email you to schedule the inspection. If you are not selected for the first round of inspections, we will notify you if inspections will be offered in the future.
Submit
Should be Empty: