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WATER SERVICE REQUEST APPLICATION
Upon application for installation of one or more fire hydrants the customer shall pay such charges as shall be
determined on the basis of actual costs incurred by the District in performing the work as shown in Section 37.01.
Where a new water lateral is required, a customized, written estimate of the District's costs will be prepared. The
customer shall deposit the estimated costs with the District prior to commencement of the work as shown in Section
28.02.
OWNER INFORMATION
Parcel Owner Name:
Contact Name: Contact E-Mail Address:
Company Address:
City: State: ZIP Code:
Phone: Fax: Cellular:
*Who is financially responsible for payment of the monthly water bill?
(check one) OWNER APPLICANT
APPLICANT INFORMATION
Company Name:
Contact Name: Contact E-Mail Address:
Company Address:
City: State: ZIP Code:
Phone: Fax: Cellular:
PROJECT INFORMATION
Project Name: Assessor Parcel Number (APN):
Project Address:
City: State: ZIP Code:
Description of Service Installation Required:
Signature of Applicant: Date:
Otay Water District, Public Services Division 2554 Sweetwater Springs Blvd Spring Valley, CA 91978-2004