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Application for Water Service
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Property Address Information
Map & Parcel Number
Note: This must be the 13 digit Map and Parcel ID
Property Owner Contact Info
Contact Email Address
Mailing Address (Street / Number or PO Box)
This address will be used for billing purposes.
Mailing Address (City, State Zip)
Contact Telephone #
Service Installation Details
Type of Occupancy
-- Select One --
Curb to Building (Feet)
# of Dwelling Units
Size of Service Line
Name of Qualified Contractor Performing Work
Scope of Installation
Please include any specific information that may be pertinent to this installation.
By submitting this for you are applying for water service at the Property Locations reference above and agree to comply with the rules and regulations of the Westfield Water Resources Department and agree to be bound by all city ordinances, rules and regulations pertaining to water use in the City of Westfield, and have received a copy of the Westfield Water Resources Department Rules and Regulations.
Please note we cannot process applications for new connections between November 14th and April 16th. If we receive your application during this period, it will be processed after April 16th.
Check here to state you understand the statements above.
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