Commercial Utility Application

COMMERCIAL UTILITY APPLICATION

WATER / SEWER / IRRIGATION METERS
Date*

MonthDayYear
Date
Business/ Company Name*
Service Address*
Person Responsible for Bill Payment*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code