Fillable Utility Billing Office 540-587-6047 Fax 540-587-6143 E-Mail billing@bedfordva.gov (Town of Bedford)

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Utility Billing Office 540-587-6047 Fax 540-587-6143 E-Mail billing@bedfordva.gov (Town of Bedford)

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Utility Billing Office 540-587-6047 Fax 540-587-6143 E-Mail billing@bedfordva.gov
OUTDOOR LIGHTING
OWNERSHIP OF FACILITIES:
ALL FACILITIES NECESSARY FOR SERVICE, INCLUDING FIXTURES, CONTROLS,
POLES, TRANSFORMERS, SECONDARIES, LAMPS AND OTHER APPURTENANCES,
SHALL BE OWNED AND MAINTAINTED BY THE TOWN. ALL SERVICE AND
NECESSARY MAINTENANCE WILL BE PERFORMED ONLY DURING THE REGULAR
SCHEDULED WORKING HOURS OF THE TOWN. THE TOWN SHALL REPLACE ALL
BURNED-OUT LAMPS AS SOON AS POSSIBLE.
TERM OF CONTRACT:
___________RESIDENTIAL OR FARM CUSTOMERS – ONE YEAR
___________COMMERCIAL OR GENERAL SERVICE CUSTOMERS – THREE YEARS
I,______________________________________________________, DO
UNDERSTAND THE ABOVE RULES AND REGULATIONS FOR THE INSTALLATION OF
DUSK-TO-DAWN LIGHTS AND WILL ABIDE BY THEM AS STATED. WE HAVE
CONTACTED THE TOWN OF BEDFORD ELECTRIC DEPARTMENT AND THEY HAVE
APPROVED THE DESIGNATED LOCATION.
LOCATION OF DD LIGHT______________________________________
_________NUMBER OF LIGHTS TYPE ________________
CHARGE TO INSTALL POLE - $100.00 FOR EACH POLE
ACCOUNT # _______________________________________________
CUSTOMER NAME__________________________________________
ADDRESS________________________________
PHONE # ________________________________
E-mail___________________________________
SIGNATURE____________________________ DATE_______________
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Utility Billing Office 540-587-6047 Fax 540-587-6143 E-Mail billing@bedfordva.gov (Town of Bedford)

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Completed 18 January 2021

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