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Water/Sewer Service Agreement

2. First Name*
3. Last Name*
5. Phone Number
6. Email Address
8. Which type of service are you applying for?*

   1. Water
   2. Sewer

   Check all that apply
10. Address where water or sewer service is requested*
12. Size of water or sewer service line to be provided
14. IN ADDITION TO THIS COMPLETED APPLICATION, APPLICANT MUST PROVIDE THE FOLLOWING:
    1) $200 Application Fee - check payable to City of Spearfish.------------------------------------------------------- 2) Scaled drawing indicating the size and location of the water service line
16. File Upload
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit | Go Back