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Water Utility Service Application - Commercial
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Please check the City of Longview
Privacy Policy and Disclaimer
before completing this form.
Section 4 - Commercial Business Account Information
Business Name
*
Tax Identification Number
Please be prepared to supply the Tax Identification Number.
Service Address
*
Service Date Requested
Mailing or Billing Address (if different than above)
Primary Telephone Number
*
Email
Requesting Commercial Garbage and Recycling Services
Your once per week commercial garbage service includes one regular trash cart and one recycle cart. For extra carts, please indicate quantity.
How many extra garbage carts are needed?
-- Select One --
0
1
2
3
$7.50 each, per month, plus tax
How many extra recycling carts are needed?
-- Select One --
0
1
2
3
$5 each, per month, plus tax
Please read the City of Longview
Retail Water Service Agreement
before completing this form.
*
I have read the Retail Water Service Agreement
I have read the Ready Access to Utility Service Equipment
I have read the Personally Identifying Information for Account Purposes
PLEASE READ CAREFULLY:
By submitting this application, I agree to the above statements and acknowledge that all information I have provided is true and correct. By signing this application electronically or manually, I certify that I have read and understand all of the information regarding this Application for Water Utility Service, which includes the Retail Water Service Agreement, and agree to these terms and conditions.
Statement of Agreement
*
By typing your name in the above box, you agree to the terms of the City of Longview Retail Water Service Agreement
Date
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