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Bulk Water Access Permit

ACCOUNT INFORMATION

Customer Name

Contact Name

Contact Email

Contact Phone Number

Service Street Address

Unit Number

Date to Commence

Date to Terminate

Purpose of Use

Number of Cards Requested

Charge Per Month is $350 per Card

The Owner of the Permit will continue to be billed the monthly fee until the bulk water access card and key have been returned to PUC Services at 500 Second Line E, Sault Ste. Marie, Ontario.

$50 Administration Charge for any lost or damaged access cards or keys.

If you have any questions please call 705-759-6500 or email customer.experience@ssmpuc.com

Authorization

By submitting this form you authorize PUC to bill you the monthly fee stated above. Customer Experience will contact you when your card is ready for pick-up.

Forms

Bulk Water Access Permit

Charge Per Month is $350 per Card