Water and Sewer Service Request - Commercial

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Please correct the field(s) marked in red below:

  • For same day service, please submit your application and pay your deposit by 1:30pm. Any applications submitted after 1:30pm will have service started the next business day.
  • Water service will be turned on between 2:00-4:00pm Monday-Friday.
  • Deposits will need to be paid by tenants prior to service starting. Payments can be made over the phone by calling 707-647-4364 or in office at City Hall. We accept Visa, MasterCard, cash, or checks.
  • A copy of your driver's license and escrow / lease agreement is required for starting service.
  • Please fill out all fields before submitting application. If a question does not apply to you, simply enter "N/A" or enter "0" in a number space.
1
Today's Date
 *
2
Service Start Date
 *
3
Type
 *
Type
4
Legal Business Name
 *
5
DBA Business Name
 *
6
Service Address
 *
Service Address
7
Billing Address
 *
Billing Address
8
Telephone Number
 *
9
Alternate Phone Number
 *
10
Fax Number
11
E-mail
 *
12
Chief Executive Officer
 *
13
Owner/Manager
 *
14
Tax ID Number
 *
15
Upload a copy of your driver's license here:
 *
16
Upload a copy of your escrow/lease agreement here:
 *
17
Terms & Conditions
 *
Terms & Conditions
18
Applicant's Signature
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.