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2. The Williamsburg mailing address contains 3 localities: Williamsburg City Limits, James City County & York County. Check out City Street Listing to see if you reside within the City limits.
4. Water Connection Date*
   Water Connection Date
6. Please allot 1 business day for water turn-on submitted by this form. If earlier turn-on is needed, please call 757-220-6188.
8. Service Address*
10. Owner Name*
12. Mailing Address
14. Street*
16. City*
17. State*
18. Zip Code*
20. Email Address
21. Employer
23. Phone Number*
25. Alternate Phone Number*
26. Extension
28. Contact Email Address*
30. Electronic Billing

    1. I would like to receive electronic billing in place of paper billing using the email address listed above.
32. Type of Service*

    1. Residential Owner Within the City
    2. Residential Owners Outside the City - $50.00
    3. Business with Low Water Usage - $50.00
    4. Car Washes, Restaurants and Hotels, Motels and Apartment Complexes with Less than 50 Rental Units - $250.00
    5. Hotels, Motels and Apartment Complexes with 50 or More Units - $500.00
    6. Any Other Business with Water Usage of 3,000 Gallons a day or more - $500.00
34. Agreement

    1. I hereby make an application for water and/or sewer service at the above location and agree to abide by all rates, ordinances and regulations pertaining to such service. I further agree to pay prompt
36. Deposit will be placed on the first billing. For further information, contact the Water Department, (757) 220-6188.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field