Post Office Box 595
Alpine, Arizona 85930
928-339-4302
TRANSFER OF SEWER SERVICE
( New Owner Information)
NAME:________________________________________________________
BILLING ADDRESS:____________________________________________
_______________________________________________________________
TELEPHONE:___________________________________________________
_______________________________________________________________
(Previous Owner Information)
NAME:________________________________________________________
ACCOUNT NUMBER: 101-_______________________________________
BILLING ADDRESS:____________________________________________
_______________________________________________________________
TELEPHONE:___________________________________________________
SERVICE ADDRESS IN ALPINE:_______________________________________________________
EFFECTIVE DATE OF TRANSFER:________________________________
TRANSFER FEE: $7.50
PAID:__________________________________________________________
CHARGE TO ACCOUNT:_____________________________________________________
COMMENTS:__________________________________________________________________________
______________________________________________________________________________________
_______________________________________________________________________________________
Alpine Sanitary District Rates and Fees Schedule
Alpine Sanitary District Request for Change in Billing Information
Alpine Sanitary District Application for Service
Alpine Sanitary District Building Sewer Specifications for Applicant Responsibility