Application for Water Service – Lakeside Water District

Address*
Street Address Address Line 2 City State ZIP Code
Type of Account*
- Single Family Residence - $200 Deposit Click to Pay Deposit, then enter confirmation number below in the next box.
- Multi-Family Residence - Deposit Amount Call Office 619-443-3805
- Commercial - Deposit Amount Call Office 619-443-3805
Confirmation Number of Payment*
Bill to Name*
Application Type*
- Property Owner
- Property Tenant
- Other
Phone*
Email*
Social Security Number*
Contact Info or Additional Information
Start Water Service on Date*
Date Format: MM slash DD slash YYYY
Consent*
Signature Line - Type your name here to agree that by submitting this application for water service you agree that the above information if true and correct. You also agree to pay the water bill which is billed every two months, net 20, with a 10% late fee and possible disconnection from service and collection fees if the account is not paid. $20 Set-up fee on all accounts.
Signature

Directions for Application for Water Service