COMMERCIAL - UTILITY SERVICE APPLICATION
Have you applied for a Current Richmond Hill Business License? All Businesses operating
inside the City of Richmond Hill MUST have a current business license.
Account Number:
Date Service to Begin:
Customer Name:
Service Address:
Mailing Address:
Work Phone:
Signature of Applicant
Date
FOR OFFICE USE ONLY
Application Fee collected by:
Date:
Check
#
Cash
Visa
M/C
Debit
Discover
Receipt #:
Beginning Reading:
It is the applicant’s responsibility to ensure that there is no water sources turned on inside the home/property upon connection of services. The City of
Richmond Hill accepts no liability for any water damage.
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signature
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