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F0313 Request for water supply connection or disconnection
Current connection fees for services up to 25mm are listing on Council's website at
www.charterstowers.qld.gov.au/fees-and-charges
however, Council will forward quotation advising of applicable charges for all service applications.
Property Details (Connection Location)
Street or Lot Number
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Street Name
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Applicant Status
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Property Owner
Tennant/Lessee
Rates Notice Assessment No.
Property Owner
Name
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Street Address
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Suburb
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State
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Post Code
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Is your Postal Address the same?
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Yes
No
Postal Address
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Email Address
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Contact Number
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Applicant Details (if not Property Owner)
Name
*
Postal Address
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Suburb
*
State
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Post Code
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Email Address
*
Contact Number
*
Connection Request
Is this part of a subdivision?
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Yes
No
Is it an existing or proposed lot?
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Proposed
Existing
Request Type
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New Meter
Meter Relocation
Disconnection
Development Application Number
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Size of service
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Residential 20mm
Residential 25mm (non standard)
Provide details of non-standard connection requirement
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Other considerations
Conditions
No water connections/disconnections will be available until this request has been approved.
No estimates of cost will be given prior to the lodgement of this request.
This request may be referred to a General Meeting of Council along with reports from officers of Council.
Council will respond to your request in writing and advise whether reticulated water supply is available to your site, and if so, at what cost and timeframes.
I have read, acknowledge and agree to the above conditions.
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Yes
Enter the word in the image
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