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Water Service ApplicationVillage of Oak Brook 1200 0ak Brook Road Oak Brook,IL 60523-2255 Websie ww‐oatbmokorg Administra●oll 6303685000 FAX 630 368 5045 Communi" Development 6303685101 FAX 630 368 5128 Ellgineenng Departlnent 6303685130 Rα 630 368 5128 Fire Department 6303685200 FAX 630 368 5251 Pouce Departlnent 6303688700 FAX 630 368 8739 Pubic Works Departlnent 6303685270 FAX 630 368 5295 0■k Brook ―600 0ak Brook Road Oak Brook,IL 60523-2200 6303687700 FAX 630 368 7704 0ak BЮ ok S●orts Co“ Bath&Tennis Club 700 0ak Brook Road Oak Brook,IL 60523-4600 6303686420 FAX 630 368 6439 Golf Club 2606 York Road Oak Brook,IL 60523‐4602 6303686400 FAX 630 368 6419 Village of Oak Brook Water Service Application accordance with the ordinances of the Village of Oak Brook, all are required to complete this application to establish and H( ) ‐ W ( customers of the water continue water service. provide us with the following information for account Address: ling Address (if different): ity, State, Zip Code: elephone Number: Other( )― s Name: elephone Number:H( ) ‐ W ( Other( )― Dttvers L cense#(copies needed)★ hereby apply for water service from the Village of Oak Brook, and agree to pay all in conjunction with the furnishing of such water service as charges become due nd payable. Failure to comply with the payment terms of the Village of Oak Brook may in termination of water service and/or filing a lien against the property served by the ity for the non-payment of bills. of appficant:Date: S. Direct Debit Payments are now available for water payments. Please contact the water ing department at (630)368-5090 for more information. if no draver's license is present, an alternate government assued picture lD is needed Name: State, Zip Code: