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New Residential Utility Service Application Form


  1. 1. New Service Address
  2. 2. Customer Name
  3. 3. Customer Information
  4. 4. Customer Acknowledgement
  • New Service Address

    1. **Service Connects ONLY Monday - Friday 8:00 a.m. - 4:00 p.m. 24 HR notice required. No Service on Holidays!**