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Application For Commercial Service
Application For Commercial Service
Commercial Application for Water Service
Application
Date
Co Applicant
Email Address
Billing Address
Telephone #
Alternate #
Service Address
Property Owner
Renter
Meter Size
Meter ID
EIN
Location#
Well on Property?
Service Date
Beg. Read
Backflow
Bill has been paid though app date?
Billing Preference:
Paperless/Email
Paper/ mailed
Both
Owners Initials:
The property owner acknowledges that if a renter leaves with a balance owing on an account, the owner of the property will become immediately responsible for payment of the account before service can be restored.
For Office Use Only:
For ANY commercial service it will be necessary for District personnel to conduct a site survey prior to providing service. Site Survey
Conducted by:
Date:
Commercial Rate Classes
C1
C1
C2
C3
C4
C5
C6
Meter Size
¾”
1”
1 ½”
2”
3”
4”
6”
Service Charge
$43.68
$52.41
$116.44
$160.59
$495.97
$454.48
$849.12
Volume Charge Per 1,000 Gallons
Volume Charge – Block 1
$2.91
$2.91
$2.91
$2.91
$2.91
$2.91
$2.91
Volume Charge – Block 2
$3.23
$3.23
$3.23
$3.23
$3.23
$3.23
$3.23
Volume Charge – Excess
$3.54
$3.54
$3.54
$3.54
$3.54
$3.54
$3.54
Usage Block ‐ 1
6,000
6,000
6,000
6,000
6,000
6,000
6,000
Usage Block ‐ 2
12,000
12,000
12,000
12,000
12,000
12,000
12,000
Excess Usage ‐ Over
18,000
18,000
18,000
18,000
18,000
18,000
18,000
Minimum Applicable Monthly Rate
Monthly Base Rate (Recovers fixed costs not related to the volume of water consumed)
Backflow Prevention Program Charges
Your Minimum Monthly Bill
All water bills are due and payable upon receipt.
Charges for ALL usage will be in accordance with District rate scale in effect at time of usage.
When a property changes legal ownership, it becomes the responsibility of the new owner to make immediate payment of ALL accumulated charges to date to ensure uninterrupted service to the property.
A bill will become delinquent if not paid within fifteen (15) days from the date on which the bill was mailed.
Late charges will be calculated on the current monthly balance at the rate of 10% per month.
If a monthly bill plus the late charge is not received by the district on the 24th day following the date on which the original bill was mailed, then the service will be disconnected, and ALL accumulated charges PLUS a twenty‐five dollar ($25.00) dispatch fee must be paid prior to the service being restored.
A $25.00 non‐refundable application fee will be added to your first bill.
Changes in service or use which may pose a threat of contamination or pollution to the District distribution system under the established Backflow Prevention Program will result in application of rates and requirements outlined by District policy.
Applicable Fees Due with Application
Outstanding Account Balance
Other Applicable Amounts Due
Total Amount Due
Cash
Credit Card
Check
Information provided to the District on this application is true and complete to the best of my knowledge. I agree to the terms of this application and accept conditions of service as outlined by this application and the undersigned District representative.
Applicant Signature (Required)
District Representative (Internal Use Only)
Submit
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