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2. Account Number
3. Customer Name*
5. Service Address*
6. Meter Number
8. Type of Use / Classification of Property*

   I am the property owner of the above listed service address. I request that the water service be reactivated at this time. I understand that the consumption charges and flat fees for water and sewer will begin to be billed on the day that the meter is reactivated. There will be a charge based on the current rates at the time of reactivation. 

   1. NO, there has not been a change in the type of use at the premise or changes in the classification of the property type.
   2. YES, there has been a change in the type of use at the premise or changes in the classification of the property type.
10. Type of Change
12. I request the meter to be reactivated on: *
    I request the meter to be reactivated on:

    For the reactivation, a customer of 18 years or older must be on site.

13. During the scheduled time of:*

    1. 8 am - 11 am
    2. 12:30 pm – 3:30 pm
15. Name of Person On Site*
16. Phone Number*
17. Email Address*
19. Electronic Signature*

    1. By clicking this box you are signing this form electronically
21. Name*
    Please type name.
22. Date*
    Date
Leave This Blank:


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

    This field is not part of the form submission.

26. Submit

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