Application For Irrigation Meter "*" indicates required fields Account No.*Services Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Owners Name* First Last Email* Plumbers Name* First Last MA License #*Phone*Company Name*Type of property* Single family Multi Family Commercial Check all that apply Meter Use* Lawn/Plants Pool Other Check all that apply If Other:*I hereby certify that the information provided on this form is accurate and complete and that all charges and fees owed on this property to C-O-MM WATER DEPARTMENT are current and paid in full. I agree to abide by all the municipalities’ rules and regulation governing the use of water meters as well as all relevant ordinances, rules and regulations.Owners Consent* I Consent Date* MM slash DD slash YYYY Owners Cell* Δ
