Del Oro Water Company
Drawer 5172
Chico, CA 95927

Director of Community Relations
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Del Oro Water Acct. #
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	Yes, I have read and agree to the Terms and Conditions of the Leak Protection Insurance. Yes, I am the homeowner of the service address above. No, I am not the homeowner, but have written authorization to provide maintenance to the water service line for the service address above. Yes, my water line is 2 inches or less in diameter. Yes, my water service line is less than 200 feet in length.