MEMPHIS
69°
Sunday
Clouds/Overcast
Current Memphis Weather
MLGW Home Page
Connect with us on Twitter Connect with us on Facebook Read our most recent blog Watch us on YouTube Connect with us on Instagram
Back to Home Page
Commercial Water Service Request
 
Contractor Request Form
Permanent Commercial Water Service

NOTE: Required fields are indicated With a * below. All required fields must be completed for the request to be processed. If you do not have all of the required information, please obtain it before completing this work request.
Service Type
Today's Date:
Sunday February 28, 2021
*Installation:
Domestic    Irrigation
*Type:
New    Added Load
Choose One:
Meter Separation    Meter Combination
Relocate - Change in Meter Size    Relocate - No change in Meter Size
Fire Protection (if applicable):
Service Address
*Street Address:
Apt. or Suite:
*City:
*Zip Code:
Requestor Information
*Your Company:
*Contact Name:
*Contact Phone:
Contact Cell Phone:
Contact Email:
Contact Fax:
Who will pay for this construction? (NOTE: not required in case of DEMOLITION)
*Name:
*Address:
*City, State, Zip:
  
*Phone:
Email:
Monthly Billing Customer Information (please provide if known)
Name:
Address:
City, State, Zip:
  
Phone:
Email:
Requested Meter Size (NOTE: not required in case of "Relocate with no change in Meter Size")
Meter Size:
If "Other", specify the Meter Size:
Fire Protection Size:
Special Instructions:
Access Agreement
*You need to send in an Access Agreement for each address. (download by clicking here).