This form is intended to begin the process of initiating a service change and is in no way a contract or binding agreement.
If you have questions regarding this form please contact Tricia Poitevint (509) 922-5443.

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Address where Sewer and/or Water services are provided

Title/Closing Company Information

Title/Closing Company Name
Estimated date of closing
Title/Closing Contact Name
Title/Closing Phone Number

Owner/Property Manager Information

Owner or Property Manager Name
Owner or property manager phone
Owner or property manager email
Owner or property manager billing address
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