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2. 
3. Utility Billing Department
   Commercial Service Application
5. Service Address*
7. Connection Date*
   Connection Date
   Service Connection only Monday-Friday. 24 HR notice is required. No service on holidays.
9. Business Name*
11. Customer Name*
13. Government issued PHOTO ID or Tax ID Form*

    Upload a copy.

15. Driver's License or Tax ID #*
16. Date of Birth*
    Date of Birth
18. Phone #*
20. Email Address*
22. Mailing Address(if different than Service Address)
24. City
25. State
26. Zip
28. Primary Use for Property*
30. Additional Requests
32. Billing Preference*
    -- Select One --Paper BillE-Bill
34. Lease Agreement/Buyers Contract Upload
36. I AGREE TO THE FOLLOWING:*

    Please check all boxes below to comply.

    1. I understand that I must pay the Utility Billing Deposit based on meter(s) size by contacting Utility Billing at (325)646-9700.
    2. I understand that government issued PHOTO ID or Tax ID is required for connection. A scanned copy or picture is fine.
    3. I understand I need to attach a copy of the rental lease agreement or buyers contract.
    4. I understand the City will not be responsible for damages to the property or inside the property due to any water leak or open lines upon or after the City restores service.
    5. I have already applied for a certificate of occupancy with our Development Services Department.
38. Service Agreement Contract
    Click here to view the Service Agreement Contract
40. Please remember to call our Utility Billing office at 325-646-9700 for payment of deposit for completion of application. Thank you!
42. Customer Signature:*
    By typing your name you agree that you have read and agree to the terms and conditions of the Service Agreement Contract in the link provided above.
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field