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OWNER APPLICATION CITY OF KALISPELL P.O. Box 1997 Kalispell, MT 59903 APPLICATION FOR WATER and/or SEWER SERVICE TODAYS CLOSING NEW ACCT. LOCATION CODE: THE UNDERSIGNED OWNER/OWNER'S AGENT OF THE PROPERTY LISTED AT: PHYSICAL ADDRESS: hereby applies to the City of Kalispell for Water and/or Sewer Service at said premises. The undersigned agree to abide by all rules, regulations and ordinances of the City relating to my Water and/or Sewer service and agree to pay for all Water/Sewer charges therefore. The undersigned owner is aware of and agrees that they will be liable for all Water/Sewer service charges to said premises, as provided by Section 26-2, Code of the City of Kalispell, MT. OWNER MAILING SOCIAL SECURITY OF PHONE NUMBER: CO-OWNER SOCIAL OF PHONE PROPERTY PHONE OWNER CO-OWNER *****ATTENTION APPLICANT***** Application will be returned if any of the above information is missing and will not be submitted until all necessary information is filled out properly. ****FOR OFFICE USE ONLY**NOTICE TO DISCONNECT/RECONNECT WATER SERVICE**** PREVIOUS PREVIOUS ACCOUNT METER EMAIL RECEIVE EMAILED BILLS: YES NO BOTH (EMAIL & PAPER) RENTAL PROPERTY: YES NO SIGN SIGN