CUSTOMER APPLICATION FOR WATER & SEWER SERVICES

EL TORO WATER DISTRICT
APPLICATION FOR CONSTRUCTION METER

EL TORO WATER DISTRICT

24251 LOS ALISOS BLVD. LAKE FOREST CA 92630
PHONE: 949-837-0660

Requested Service Start Date(*)

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Today's Date(*)

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Service Location(s) Information

Location Service Address(*)

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Zip Code(*)

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Type Of Business (Moved Out)(*)

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City(*)

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Type Of Business (Moving In)(*)

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Account Holder(s) Contact Information

Business / Company Name(*)

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Doing Business As (If Applicable)(*)

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First And Last Name(*)

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Title/Position(*)

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Mailing Address(*)

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Mailing Address For Statement(S)(*)

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City(*)

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Zip(*)

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Primary Phone#:(*)

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Secondary Phone#(*)

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Fax#(*)

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Mailing Address(*)

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State(*)

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Tax Id#(*)

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Property Management Contact Information (If Applicable)

Is there a Property Manager?(*)

Yes

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Business / Company Name(*)

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C/O (If Applicable)(*)

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First And Last Name(*)

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Title/Position(*)

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Mailing Address(*)

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City(*)

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Zip(*)

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Primary Phone#(*)

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Secondary Phone#(*)

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Fax#(*)

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E-mail(*)

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State(*)

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Tax Id#(*)

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Accounts Payable Contact Information

Is the Accounts Payable Contact different from the Account Holder?(*)

Yes

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Business / Company Name(*)

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C/O (If Applicable)(*)

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First And Last Name(*)

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Title/Position(*)

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Mailing Address(*)

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City(*)

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Zip(*)

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Primary Phone#(*)

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Secondary Phone#(*)

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Fax#(*)

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E-mail(*)

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State(*)

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Tax Id#(*)

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Backflow Contact Information

*** BACKFLOW Questions Please Call 949-837-0660 x 209 or email This email address is being protected from spambots. You need JavaScript enabled to view it. ***

Is there a backflow assembly for this water service?(*)

Yes

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Please provide contact information for the person the District should contact regarding annual backflow testing reminders and any cross-connection issues. This person must be responsible for the property and must not be the backflow tester or testing company. The customer is responsible for maintaining and annually testing all backflow prevention devices.

First And Last Name(*)

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Title/Position(*)

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Mailing Address(*)

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City(*)

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State(*)

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Primary Phone#(*)

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Zip(*)

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E-mail(*)

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Onsite Contact Information

Is the Backflow Contact the same as the Onsite Contact?(*)

Yes

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First And Last Name(*)

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Title/Position(*)

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Mailing Address(*)

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City(*)

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Zip(*)

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Primary Phone#(*)

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State(*)

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E-mail(*)

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Additional Comments

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***If immediate water service is needed for construction, please refer to the Construction Meter Application Process***

https://etwd.com/doing-business/engineering-documents/

CUSTOMER APPLICATION FOR WATER & SEWER SERVICES

CUSTOMER APPLICATION FOR WATER & SEWER SERVICES

EL TORO WATER DISTRICT

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