Fillable Form 617 New Water Service Application (City of El Monte)

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Form 617 New Water Service Application (City of El Monte)

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The Form 617 New Water Service Application (City of El Monte) form is 1 page long and contains:

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  • 4 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of El Monte

BROWSE CITY OF EL MONTE (CA) FORMS

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CITY OF EL MONTE WATER DEPARTMENT
Account Number
Service Address Zip Code
Name On Invoice Applicant/Contact
Deposit Date Receipt Number Deposit Amount
Mailing Address
City State Zip Code CLOSING INFORMATION
Forwarding Address :
E-Mail Cell Telephone Home Telephone
Address
Federal I.D.# Drivers License Number Fire Service Number
City State Zip Code
On Date Meter Size Units Turn On Read SVC Charge
Charge Code Type of Business
Acct X-Reference :
F M R P C I G
R = Residential * P = Multi Residential * C = Commericial* I = Industrial* G = Irrigation
I ASSUME LIABILITY EFFECTIVE :____________ READ:___________ Initials:___________
I hereby agree to all ordinances regulating to water department adopted by the City of El Monte
Municipal Code : (13.04.080). I ALL INFORMATION PROVIDED IS TRUE AND CORRECT.
Warrant____________________
Signature:_______________________________________________ date_______________ Refund Amount___________________
BUSINESS REALTOR/BANK TENANT OWNER
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Form 617 New Water Service Application (City of El Monte)

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Completed 15 July 2020

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