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Email:
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Water/Sewer Request Form
WATER & SEWER REQUEST
Apply to have sewer & water connected in the City of Greenwood
Indicate Owner or Agent
*
Owner
Agent
Name
*
First
Last
Contact Phone Number
*
Email
*
Address of Property to be Connected
*
Street Address
City
Postal Code
Property Type
Residential
Commercial
Subdivision
Connection
Water
Sewer
Connection Date
MM slash DD slash YYYY
Role Number
Additional Connection Details
Standard Connection Rate: $800.00 plus taxes
Complex Connection Rate: Cost plus 15% plus taxes
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*
SIGN HERE: Use finger on phone or tablet. Use mouse on computer.
The personal information on this form is being collected in accordance with Section 27 of the Freedom of Information and Protection of Privacy Act, RSBC 1996 Ch. 165, Part 12 of the Local Government Act, RSBC 2015 Ch. 1 and regulations thereto and the Local Government Bylaw Notice Enforcement Act, SBC 2003, Ch. 60 and regulations thereto. The personal information collected on this form will only be collected, used and disclosed for the purposes of administering matters with respect to the enforcement of City of Greenwood bylaws and related matters. Questions with respect to the collection, use and disclosure of the personal information being collected on this form may be directed to the City of Greenwood Privacy Officer and Head of Freedom of Information and Privacy at 202 S. Government Avenue, Greenwood, BC V0H 1J0: by telephone at 250-445-6644 or by email at
[email protected]
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