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Combined Locks Water Service Survey
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* Indicates required question
Street Address:
*
Your answer
Water meter serial number: (white 8 digit number located on meter body)
*
Your answer
What type of material is the water line entering your house? (
before
the water meter)
*
Copper
Plastic
Galvenized
Lead
Other:
What size is the water line entering your house? (
before
the water meter)
*
3/4"
1"
1 1/4"
1 1/2"
2"
What type(s) of material are the water lines throughout your house? (
after
the water meter, DO NOT include drain lines)
(CHOOSE ALL THAT APPLY)
*
Copper
Plastic
Galvenized
Lead
Other:
Required
Do you have a water softener?
*
Yes
No
Do you have a water filter system?
*
Yes
No
This information is correct to the best of my knowledge.
Residents Name:
*
Your answer
Phone #:
*
Your answer
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