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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Service Address

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
Do you want a courtesy copy of your statement to be sent to the service address?
Name to be listed on the courtesy copy?

Unlike other utilities, water and sewer charges are associated with the property rather than the tenant who incurs the charges. The account for water and sewer services provided in the District is listed in the name of the owner of the property and the District’s billing statement will be sent to the owner at the owner’s address.

The Owner may request in writing at the District’s website, “Property Manager/Tenant Notification” that the District sends a courtesy copy of the bill to the address of the property, if different than the Owner’s address. In such event, the District will send a courtesy copy of the bill and any and all notices to the address of the property, but also will send of the original bill and any and all notices to the Owner at the Owner’s address. While the Owner of the property may make arrangements with a tenant on the property to pay the District’s bill for such property, the Owner ultimately is responsible for payment of all charges on the account, including any unpaid account balance, late fees, or reconnection fees. Tenants will only be listed on the account for water and sewer services as a courtesy for notification purposes.

The District shall presume that the Owner’s address for all purposes related to this property is the physical address of the property unless the Owner notifies the District otherwise in writing providing the District with the correct mailing address, including street address, and e-mail address, and phone number. The Owner is responsible for notifying the District immediately in writing of any change in the Owner’s mailing address, street address, e-mail address, phone number.