Madison Water Board - Contact Us - Commercial Application

Commercial Application

WATER AND WASTEWATER BOARD OF THE CITY OF MADISON RESIDENTIAL APPLICATION FOR WATER AND SEWER SERVICE

If you desire to fill out this form by hand and submit it to us via email or fax, click here to download a printable version of this form.

Service Start Request Date:	,
Email Address:
Service Location:
Business Name:
Business Phone:
Mail Address: (if different from service location)
Owner Name:
Owner Address: (if different from service location)
Owner Phone:
Manager:
No. Of Drains:
Lawn Sprinklers?	Yes No
Fire Protection Sprinkler?	Yes No

If you have any questions or comments concerning service please call us at (256)772-0253 EXT 100 OR click here to contact us. (E-mail address jshepard@madisonwaterboard.org).

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