Meter Installation Request Form

Before requesting installation of a water meter, a 3 foot perimeter around the meter box must be cleared with direct access to the box and a visible address sign must be posted on the property. The meter box and curb stop must be installed per 2014 Public Works Standard Detail Drawings. For 1” meters and below, use WT-3030; for 1.5 - 2” WT-3045; for 3” and above, WT-3105. The installation site should be ready by the request date below. If the site is not ready, additional fees may apply. (See NOTICE OF ADDITIONAL FEES)

All fields with an asterisk * are required.

SERVICE INFORMATION
INSTALLATION INFORMATION
(Please allow 10 business days to complete the meter installation)

A $50.00 fee will be assessed if the site is not ready when the technician arrives. If this occurs, the installation contact named above will be notified and required to submit a new installation request form along with payment of the $50.00 fee.  The standard installation period of 10 business days will begin again from the date of the most recent installation request form.  

BILLING INFORMATION
AGREEMENT TO COMPLY WITH TERMS OF SERVICE

The Applicant hereby contracts with the City of Wilsonville to provide utility services to the above service location. Applicant agrees to comply with all applicable city codes and regulations, including without limitations Wilsonville Code Chapter 3 & 4. In the event Applicant files for bankruptcy, but wishes continued service, Applicant agrees that a new account may be created for such services. Any billing dispute needs to be addressed within 90 days. Applicant understands failure to pay for service in full may result in penalties, termination of service, additional fees, a property lien, and/or reporting to various credit bureaus. Furthermore the applicant agrees to notify the Utility Billing Department in writing at least two business days prior to discontinuation of service; otherwise he/she will be held responsible for charges until the date the department is notified in writing. The first bill will cover all water usage from the day the meter was installed to the last day of the service period listed on the bill.

Electronic signature agreement. By selecting the "I Accept" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.

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