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Utility Connection Form

  2. Utilities
  3. Utilities
  4. Do You...
  5. I agree to abide by all the rules and regulations of the City now in force, or hereafter to be fixed by the city, relating to the operation of its utiliities; and pay all bills for utility service received, used or wasted at the above address during the period of this contract. Any unpaid balance constitutes delinquencies on all utilities. In the event of delinquencies, any and all reasonable incurred collection, attorney fees, and court costs will be added to the balance. If there is more than one account, a delinquency on one account constitiutes delinquencies on all accounts

    This agreement is to be in effect from the date hereof to the date service is discontinued upon my request or for other reasons by the City.

    I acknowledge that all of the information on this form is accurate and the person filling out this form is the applicant listed on the account. 

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