Harwich Water Department

Water Service Connection Application

If you prefer to mail us your application, please use our printable form (opens in new window).

Applications must be completed in full prior to approval.

* - required

I hereby apply for a water service connection at:

*House #:

*Street:

*Village:

*Assessor's Map:

*Parcel:

*Owner of Property:

*Billing Address:

*City/Town:

*State:

*Zip/Postal Code:

*Telephone #:

- -

*Name of Builder:

*Builder's Telephone #:

- -

*Name of Water Installer:

I agree that as soon as I connect to the water system and become a taker, I will pay for same and abide by all the rules and regulations now in force or to be established by the Board of Water Commissioners

I AGREE