City of BrandonApplication and Agreement for Utility Services • March 7th, 2023
(Note – Attach a Copy of Your Driver’s License for Proof of Identification). Forms will not be processed without all information.
City of Portola 35 Third AveApplication and Agreement for Utility Services • November 3rd, 2020
APPLICATION AND AGREEMENT FOR UTILITY SERVICESApplication and Agreement for Utility Services • April 7th, 2011
In consideration of receiving utilities provided by the City, the undersigned agrees to pay all utility charges when due each month for the residence/business located at the above address.
APPLICATION AND AGREEMENT FOR WATER/SEWER/STORMWATER/REFUSE SERVICE WILMINGTON UTILITY BILLING DEPARTMENTApplication and Agreement for Utility Services • May 3rd, 2021
Agreement: I, the undersigned, hereby make application to the Wilmington Utility Billing Department for services. I agree to pay for such services at the same rates in effect, or as amended from time to time, as established by Ordinances adopted by the legislative authority of the City of Wilmington. I agree to abide by all the rules and regulations of the Utility Billing Department, as set forth in Chapter 927 of the Codified Ordinances of the City of Wilmington, which are incorporated herein and made a part hereof. I agree to use such services for my own purposes and not to sell any part of same or permit its use for any other purpose: I agree that duly authorized agents and employees of the Utility Billing Department shall have access to my premises at all reasonable hours for the purpose of reading meters, installation or removal of meters and for inspection of equipment incident to carrying out this agreement. I further agree to hold the City of Wilmington Utility Billing Departme
