West Springfield Customer Water Service Line Form

West Springfield Water Service Line Form

Submit your results
Full Name*

First NameLast Name
Water Account Number
(If known)
Phone Number*

Area CodePhone Number
Email Address
example@example.com
Address of Water Service*

Street Address

Street Address Line 2

CityState

Zip Code
Does mailing address differ from Service Address*

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
How would you like to provide your water service material information?*
Please follow this guide to:
1. Find your water service line.
2. Determine the type of material.
When you have done that:

Measure the diameter of the service line with a ruler.
Take photos of the service line to upload with the survey.
Make a note of the answers and now you are ready to complete the survey.
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
A representative from the town's Engineering Consultant (Tighe & Bond) will follow up with the final date and time for your basement inspection.

Please click 'Submit' below to send your information.
Service Material*
Service Diameter*
Other Service Diameter*
Date or year of water service install
(If known)
Do you have any point-of-entry or point-of use treatment on your cold-water kitchen or bathroom taps (softening, filter, or other treatment)?

YesNoUnknown
Do your internal building plumbing materials include lead pipes or lead solder?

YesNoUnknown
Please upload 1-3 photos of the scratched service line.*

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Any additional comments or questions?
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West Springfield Water Service Line Form

Please follow this guide to: