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  3. Utility Billing Department
    926 Loop 332
    Post Office Box 1920
    Liberty Hill, Texas 78642

  4. Commercial Wastewater Service Application

  5. **Service Connects ONLY Monday - Friday 8:00 a.m. - 5:00 p.m. No Service on Holidays!**

  6. (Where your bills will be mailed.)

  7. Customer Confidentiality: *

    A resident may request that their account information be kept confidential. Please select one:

  8. Fees:

    * $40 Service Initiation Fee with all applications.
    May be paid with the application or added on the first bill.
    * Meter/Service Tampering: Fines and Fees are assessed by the City of Liberty Hill Municipal Code for anyone damaging, destroying, connecting, permitting the flow of unmetered water and tampering in any way with City equipment.

  9. Deposit Requirements:

    * Residential Customers: $100 deposit.

  10. General Information:

    * The City shall have the right of access to the Customer's Premises to set, read, remove, replace, or repair meters.

  11. Electronic Signature Agreement*

    By checking the "I agree" box below, I agree and acknowledge that 1) I am eighteen years of age or older; 2) the above information is correct; 3) I will be responsible for payment of the entire bill upon termination of service; 4) if the City determines that I owe past due balances to the City, I will be responsible for payment of those balances and any associated fees before this application will be processed; 5) by signing in this alternate manner, I authorize my electronic signature to be valid and binding to the same force and effect as a handwritten signature; and 6) I may still be required to provide a traditional signature at a later date.

  12. Leave This Blank:

  13. This field is not part of the form submission.