Service Application Name * First Name Last Name Street Address * Email * Phone (###) ### #### Contractor Contractor Phone Building Location Application Agreement By applying for this connection, I agree to abide by all applicable town, state, and federal requirements. Clicking here accepts and agrees If a representing agent, provide name, address and phone number Meter Size Please Note: It will be the responsibility of the applicant to provide meter fittings for 5/8", 3/4", and 1" meters. Fittings for I .5" and 2" meters will still be provided by Wilkinsonville Water Fire Service Size Private Hydrant Back Flow Preventer Yes No Pressure Reducing Valve Yes No Thank you!
