ContractWater Service Application and Agreement • October 28th, 2020
Please take the time now to read this agreement/application and fill out the application page on page 9 and return that page to us within ten (10) Business days.
TOWN OF BIG SANDY, MONTANAWATER SERVICE APPLICATION AND AGREEMENT Date:Water Service Application and Agreement • January 19th, 2017
Billing Name: Service Address: City, State & Zip: Mailing Address: (if different than service address) City, State & Zip: Telephone Number:
WATER SERVICE APPLICATION AND AGREEMENTWater Service Application and Agreement • July 23rd, 2015
an existing water service. In addition, provide payment for any outstanding combined utility charges (for an existing account). Please Note: Billing for combined utilities will begin on the date the meter is installed.
WATER SERVICE APPLICATION AND AGREEMENT - TENANTWater Service Application and Agreement • March 4th, 2022
It is further agreed that in the event any charges, fees or rents for such service are not paid by the undersigned within 15 days of billing, the undersigned waives the right of confidentiality in the matter of such unpaid amounts and authorizes the city to inform the owner of the property, or the owner's agent, of the amount of the unpaid balance.
CITY OF LEONA WATER SERVICE APPLICATION AND AGREEMENTWater Service Application and Agreement • January 24th, 2022
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.
WATER SERVICE APPLICATION AND AGREEMENTWater Service Application and Agreement • August 5th, 2021
THE COVES WATER SUPPLY CORPORATIONWater Service Application and Agreement • August 12th, 2022
All personal information in the customer’s account (address, phone number, driver’s license, usage, billing and payment records) is automatically kept confidential unless requested by the customer to opt out. HB 872, Section 812.052 of the utilities code effective June 18, 2021
