Common Contracts
1 similar Municipal Utility Services Agreement contracts
MUNICIPAL UTILITY SERVICES AGREEMENTMunicipal Utility Services Agreement • August 8th, 2019
Date of Application: Effective Date: ACCOUNT # INFORMATION TO BE COMPLETED BY APPLICANT: (Please Print) APPLICANT #1 APPLICANT #2 Customer/Business Name: Service Address Mailing Address: If different Mailing Address City, State, Zip: Home Phone: ( ) ( ) Cell Phone: ( ) ( ) Social Security #: California CDL or ID #: Employer: Work Phone: EMERGENCY CONTACT THAT DOES NOT LIVE IN HOUSEHOLD Emergency Contact: Relationship: Emergency Contact Phone # Property Owner Name: Property Owner Phone # ( ) Property Owner Address: City, State, Zip: PAYING YOUR BILL: Mail your payment to the address on your bill or pay in person at Chowchilla City Hall during normal business hours.(8:00 a.m. to 4:00 p.m., Monday through Friday) (Chowchilla Municipal Code Section 13.16.040) HOURS ARE SUBJECT TO CHANGE BECAUSE OF FURLOUGHS OR COUNCIL MANDATES. YOU CAN PAY ON LINE AT WWW. XPRESSBILLPAY.COMPAST DUE BILLS & DELI
