Fill - Free fillable CITY OF YOUNGSTOWN ONLINEPAYMENTTURNONRELEASE (City of Youngstown) PDF form

CITY OF YOUNGSTOWN

WATER DEPARTMENT

CITY HALL • 26 S. PHELPS STREET • YOUNGSTOWN, OHIO 44503

PHONE: (330) 742-8746 • FAX: (330) 742-8751

www.youngstownohio.gov/water

Email: youngstownwater@YoungstownOhio.gov

ONLINEPAYMENTTURN‐ONRELEASE

Ifyourwaterhadbeendisconnectedandyoumadeyourpaymentonlineyou

mustcompleteONEoftheoptionsbelowtogetyourwaterrestored:



1.) Youmaycomeinourofficeat26S.PhelpsStreetwithyourPhotoID,SignaTurn‐On

ReleaseandPaytheNon‐RefundableTurn‐OnFee.

OR

2.) YoumayFillOutandSignThisFormALONGwithprovidinguswithACopyOfYour

PhotoIDandFaxto:330‐742‐8751OREmailtotheemailaddressabove.Also,you

MUSTpayanon‐refundableTurn‐OnFeewithadebitorcreditcardonourwebsite

listedabove.$40.00ifyouareresidingintheCityor$44.00ifyouareresidinginthe

County.



WaterAccount#:______________________



Name:______________________________



ServiceAddress:______________________



ContactPhone#:______________________



Email Address: ____________________________________

Reminder: Please make sure any valves, faucets and/or spigots are in the off position prior to the turn-on!

Byagreeingandsigningbelow,youacknowledgethatTheDivisionofWater,CityofYoungstownisnot

responsibleforanywaterdamagestotheproperty.Ifexcavationisneeded,watermaynotbereconnected

foratleast3businessdaysexcludingweekendsandholidays.ThisispursuanttotheOhioRevisedCode

Section3781.25toSection3781.32.



I AGREE ________________________________ ______/_______/______

Customer Signature Date

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CITY OF YOUNGSTOWN ONLINEPAYMENTTURNONRELEASE (City of Youngstown)

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