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2. 
3. Utility Billing Department
   Temporary Connects

5. ANYONE INTERESTED IN A 30 DAY TEMPORARY CONNECT MUST HAVE AN ACTIVE ACCOUNT IN ORDER TO BILL ANY CHARGES. ALL CHARGES FOR TEMPORARY CONNECTS WILL BE CHARGED TO THE ACTIVE ACCOUNT.

   A FEE FOR WATER, SEWER, AND SANITATION PLUS WATER USED IS CHARGED ACCORDING TO THE RATES IN ORDINANCE NO. 19-14.

   THE DAILY RATE FOR INSIDE THE CITY LIMITS IS $3.08 FOR CONSUMPTION UP TO FIVE UNITS (500 CUBIC FEET). IF THE SERVICE IS ON FOR THE FULL MONTH THE CHARGE WOULD BE $92.40.

   ANY WATER USED OVER FIVE UNITS WILL BE BILLED AT $2.41 PER 100 CU FT.

   MINIMUM CHARGE IS $28.23.

   A SIGNATURE IS REQUIRED IN ORDER TO CHARGE TO YOUR ACTIVE ACCOUNT.

7. Name*
9. Address to be Connected*
11. Connection Date*
    Connection Date
    Service Connection only Monday-Friday. 24 HR notice is required. No service on holidays.
12. Disconnection Date*
    Disconnection Date
14. Address of Active Account*
16. Phone #*
18. Email Address*
20. Special Requests
22. Applicant Signature:*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

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26. Submit Submit and Print

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