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Utility Disconnect Request
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Name
*
Phone Number
*
Email Address
Disconnect Date
*
Disconnect Date
NOTICE
*
Please note: if your disconnect request falls on a Friday, Saturday, Sunday or holiday, your disconnect will be dated for the first working day. For suspended services requests (extended vacations or vacancy), per LMC 15.56, you will continue to be charged for stormwater, water base charge and sewer base charges. In addition to these charges, there is a $50 turn on fee once you return and need water restored.
Acknowledged
Service Address
*
City
State
Zip Code
Account Number
Forwarding Address
*
City
*
State
*
Zip Code
*
Reason for Disconnect
*
Comments
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