A deposit is required for service. Deposit amounts can be paid via cash, check, or money order or can be
included on the first month’s bill. The Town reserves the right to collect any outstanding utility bills or business taxes/licenses owed to the Town by the applicant and payment of the deposit before the new service is established. Applicants with Town accounts in good standing may have their existing deposit(s) transferred.
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| |
Inside Town Limits |
Outside Town Limits |
| Meter Size |
Water |
Sewer |
Reuse |
Water |
Sewer |
| 3/4" |
$65.00 |
$70.00 |
$35.00 |
$75.00 |
N/A |
| 1" |
$120.00 |
$140.00 |
N/A |
$130.00 |
N/A |
|
Deposits
for larger meters shall be the Public Works Director’s estimate of 2
months of actual projected usage for that particular customer. |
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Three (3) days notice must be given in writing or in person to connect or disconnect service. Application must be filled out completely, accurately and legibly (including property owner information) in order to establish your account and you must be at least 18 years old. You may be required to provide a copy of your lease agreement, purchase agreement or picture ID. Customers must insure all inside plumbing is shut off. Any damages as a result of open faucets or leaks inside the building are the customer’s responsibility. Any applications faxed after 5PM will be processed the next business day. (Weekends and Holidays are not included.) Only authorized personnel are allowed inside the meter box. If someone other than a city employee damages the meter box or its contents, the customer of record will be responsible. Any maintenance, turn ons, turn offs, or rereads will be done per customer request or during regular maintenance and reading schedules. Charges for rereads and meter testing may apply.
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| Business Name |
|
|
Type
of Business |
(retail, restaurant, bank, etc) |
|
Tax
Identification # |
|
| Contact Person |
|
| Contact Business Phone # |
(xxx) xxx-xxxx |
| Contact Emergency Phone # |
(xxx) xxx-xxxx |
| |
| Service Address |
|
| City |
|
| State |
|
| Zip Code |
|
| Occupancy Date |
mm/dd/yyyy |
| Date You Desire Water Service |
mm/dd/yyyy |
| |
| Mailing Address (if different) |
|
| City |
|
| State |
|
| Zip Code |
|
| |
| Owner of Company or Manager in Charge |
|
| Address |
|
| City |
|
| State |
|
| Zip Code |
|
| Date of Birth |
mm/dd/yyyy |
| Social Security # |
xxx-xx-xxxx |
| Driver's License Number |
|
| State |
|
| Email Address |
xxx@xxx.xxx |
| |
| Property Owner Name (if other than applicant) |
|
| Property Owner Address |
|
| City |
|
| State |
|
| Zip |
|
|
| Have you ever had services with the Town of Braselton
Before? |
Yes
No |
| If yes, when and where? |
|
| |
| Do you need a disconnect at a current address? |
Yes
No |
| Date of disconnect |
|
| Address (if different from above) |
|
| City |
|
| State |
|
| Zip Code |
|
|
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In applying for service, I verify that to the
best of my knowledge the above information is correct. My signature
indicates I have read all the above information. I understand that
providing false information may result in the rejection of my
application or disconnection of services at a later date.
|
|
Signature: |
|
|
Date: |
mm/dd/yyyy |
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Note: An application for reuse water service requires the execution of
an additional agreement, the Reuse Water Use Agreement, which must be
printed, completed and faxed to 706-654-9100 or mailed to 4986 Highway 53, P.O. Box 306, Braselton, Ga. 30517. A link to this
.pdf is located on the Public Works page.
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