Home
About Us
Latest News
History
Corporate Documents
Board Consultant Interest Form
We’re Hiring!
Annual Meeting
Customer Service
About Your Sewer Bill
Backflow Form
Change of Address
Commercial Service Request
Contractor Meter Request
Consumption History
Customer Service Information
EZPay Application
Opt-Out of Paper Bill
Our Rates
Payment Options
Hydrant Meter Request
Join the Round-Up Program
Report a Water Issue
Residential Service Request
Round-Up Application
Start Water Service
Stop Water Service
Water Quality Report
Contact Us
Consumption History
Water Quality Report
We’re Hiring!
Home
Contractor Meter Request
Contractor Meter Request
Please enable JavaScript in your browser to complete this form.
Builder Name
*
Mailing Address
*
Address Line 1
Address Line 2
City
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
Representative Name
*
First
Last
Position Title
*
Phone
*
Alternate Phone
Email
*
Service Address
*
Subdivision Name
*
Block #
*
Lot #
*
Tax Parcel #
*
Township
*
Range
*
Section
*
Federal Tax ID
*
I declare that I am a representative of the aforementioned corporation and that the officers of the corporation have authorized me to enter into this agreement for, and on behalf of, said corporation; and on behalf of the officers of the aforesaid corporation, I further declare that the corporation is in the business of construction in the Green Valley area; and to facilitate our obtaining approval for water service at the above new construction sites, and to comply with the Arizona Corporation Commission Codes, we do hereby agree to abide by and comply with all terms and conditions as approved by the Arizona Corporation Commission, relating to the Application for Water Service as requested herein, and further agree that we will be responsible for payment of same at the approved rates; and we further agree to maintain the plumbing at the above new construction site in compliance with the current edition of the Uniform Plumbing Code for Water System Safety.
*
I agree
Submit