Water/Sewer Service Application

Water/Sewer Service Application
Today's Date: *

Month Day Year
Date
Service Type *
Service Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name *

First Name Last Name
Email
example@example.com
Mailing Address (if different)

Street Address

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Cell Phone *
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Social Security Number: *
Driver's License Number: *
Driver's License State *
Date of Birth *

Month Day Year
Date
Employer:
Work Phone
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Senior Citizen? (65 or older) *

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Are you renting or leasing this property? *

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Owner Name

First Name Last Name
Owner Address

Street Address

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City State / Province

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Owner Email
example@example.com
Owner Phone Number
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Picture of Driver's License

Cancel of
Copy of Lease

If unable to provide a copy electronically, you may drop a copy off at City Hall - 212 N. Race St. Everman, Texas 76140. A copy of the lease agreement is required PRIOR to water service being established.
Cancel of
A deposit as a security for any and all bills which may be due or may become due, to the City of Everman for water or other services on these premises.

TERMS AND CONDITIONS OF SERVICE FOR THE CITY OF EVERMAN
1. If bills are not received by the 3rd day of each month, please call Water Dept (817)293-0525.
2. Bills are due upon receipt or not later than the 15th of each month.
3. No delinquent notices or duplicate bills are issued.
4. All unpaid balances will receive a 10% penalty after the 15th of each month and are subject to disconnection of services on the 25th of each month. A $50.00 service charge WILL be added.
5. Extensions MUST be requested before the 25th of each month. EXTENSIONS WILL NOT BE PROCESSED ON CUT-OFF DAY.
6. You will have a minimum bill on all services provided by the City of Everman REGARDLESS of usage.
7. In order for water to be turned on, ALL faucets, washer, connection, etc., must be off. When water service is established your representative must be on the premises when while water service is being turned on. NO EXCEPTIONS!!!
8. Water furnished hereunder is for the sole use of the customer and the selling, furnishing or permitting the use of water to third parties is expressly prohibited.
9. All lines up to and including the meter and meter box are and remain the property of the City of Everman regardless of the location thereof.
10. This contract and rights hereunder are not transferable without consent of the City of Everman in writing.
11. WATER SUPPLY TAMPERING-Code of Ordinances-Section 20-199 (#10), It is unlawful to remove, change, interfere with or tamper with any water meter.
Upon breach of any of the above terms or conditions, The City of Everman may at its election discontinue water service and remove meter without notice, and failure to do so will not in any way constitute a waiver of The City of Everman’s rights hereunder.

In consideration of the installation of the above water service by the City of Everman the consumer hereby agrees to the terms and conditions of service provided on this contract.
Please choose below: *

I AGREE to the terms and conditions listed above I DO NOT Agree to the terms and conditions listed above
Customer Signature *

Clear

Residential Certificate of Occupancy Inspection Requirements

Please review the below information:
1. Must have Electricity
2. Inspections are carried Monday – Friday between 1:00 pm and 4:00 pm. A 21 year old adult must be present at the time of Inspection.
3. An Electric Meter must be installed and must have Electric Service at the time of Inspection.
4. If the property has Gas Service, then Gas must be turned on and a carbon monoxide detector must be posted on hallway wall.
5. Every room of the house must have a working smoke detector placed above the door of the room. Also, a functioning smoke detector must be placed in the hallway.
6. All the Electrical outlets of the Kitchen and Kitchen counter must have a GFCI (Ground Fault Circuit Interrupter) switch. Also the exterior outlets must have a GFCI switch.
7. The Building and Lawn must be clean of Trash, Debris, and Tall Grass.
8. Windows and broken panels must be replaced before Inspection.
9. All addresses must have 4’inch letter and must be placed in a visible area on the curve or on the mail box.
10. All the Wood and Metal exposed must be weather protected (painted etc…)
11. All Windows and Doors must be FULLY OPERATIONAL from the inside WITHOUT any special use.
12. All electrical outlets must be functioning properly; cover plates must be attached and secure.
13. Replace missing panel blanks in electric breaker box.
14. Must provide minimum hot water temperature of 110°.
******All requirements must be met before the property is occupied or before the Water is TURNED ON.

Thank you,

Kirk Edwards

Office (817) 983-9768

City of Everman Inspector

Commercial Certificate of Occupancy Requirements of Inspections
1. Must have Electricity
2. Must pass Fire Code Inspection conducted by Fire Marshal.
3. Must have Sales Tax Certificate with Everman Business address (if applicable)
4. Must be ADA compatible.
5. Must have copy of IRS Certificate
6. Must be set up as if ready for opening day.
7. Must have TDLR if it’s Beauty Salon or Barber Shop.
8. Must have at least One Handicap parking spot in front of Business location.
9. Must have Tarrant County Health Certificate or Food Handlers Permit.
10. Inspections are carried Monday – Friday between 1:00 pm and 4:00 pm. A 21 year old adult must be present at the time of Inspection.
11. An Electric Meter must be installed and must have Electric Service at the time of Inspection.
12. If the property has Gas Service, then Gas must be turned on.
13. All the Electrical outlets of the Kitchen and Kitchen counter must have a GFCI (Ground Fault Circuit Interrupter) switch. Also the exterior outlets must have a GFCI switch.
14. The Building and Lawn must be clean of Trash, Debris, and Tall Grass.
15. Windows and broken panels must be replaced before Inspection.
16. All addresses must have 4 inch letters and must be placed in a visible area on the curb or on the mail box.
17. All the Wood and Metal exposed must be weather protected (painted etc…)
18. All Windows and Doors must be FULLY OPERATIONAL from the inside WITHOUT any special use.
Fire Code Inspections are conducted by the Fire Marshal’s Office.

Please contact: Assistant Fire Chief Landon Whatley at lwhatley@evermantx.net

(817) 293-2923 Ext: 421

All requirements must be met before the property is occupied or before the Water is TURNED ON.

Thank you,

Jeff Reed

Office (817) 293-0525 Ext 309

Jreed@evermantx.net

Building Official

Water Bill Delinquency Policy - Final Out Procedure

Effective August 2014
Subsequent to the termination of Water Services, a resident has one calendar month from the date of water cut-off to bring the bill current. If the resident fails to bring the bill current the account will be closed, the deposit will be applied to the balance and the balance will remain on the accounting system subject to collection.

If the resident continues to occupy the residence after water cut-off, Code Enforcement will be notified. Code calls for the notification of the resident (and landlord if applicable) that occupying a resident without water service is a Code Violation. Ten days after notification, if the residence is still occupied, the resident will be ticketed, as will the landlord, if applicable.

To resume water service for the previous account holder the delinquent balance must be paid and a new account must be set up. The required deposit on the New Account may be increased at the discretion of City Management.

C. W. Spencer

City Manager
Please choose *

I have read the terms and conditions of the Water Bill Delinquency Policy
Signature *

Clear

Request for Confidentiality of Personal Information Maintained by The City of Everman Water Department
Personal information in your City of Everman Water Department customer account records (e.g., your address and telephone number) is considered public information under the Texas Government Code, Chapter 552 (Public Information Act). The social security number of a living person is confidential and may not be released.

The Texas Utilities Code, Chapter 182 (Rights of Utilities Customers), provides that a government operated utility may not disclose personal information if the customer requests that the government-operated utility keep the personal information confidential.

• A request for confidentiality under Chapter 182 does not prohibit a government-operated utility from disclosing personal information in a customer's account record to: (1) an official or employee of the state, a political subdivision of the state, or the United States acting in an official capacity; (2) an employee of a utility acting in connection with the employee's duties;(3) a consumer reporting agency; (4) a contract or subcontractor approved by and providing services to the utility, the state, a political subdivision of the state, or the United States; (5) a person for whom the customer has contractually waived confidentiality for personal information; or (6) another entity that provides water, wastewater, sewer, gas, garbage, electricity, or drainage service for compensation. A customer may rescind a request for confidentiality by providing the government-operated utility written permission to disclose personal information. A government operated utility or an officer or employee of a government-operated utility is immune from civil liability for a violation of Texas Utilities Code, Subchapter B.

This form enables you to request confidentiality of your personal information under Texas Utilities Code, Chapter 182. If you wish to request confidentiality of your personal information, please check the box below and return this form. This form can be returned to: City of Everman, Customer Service, 212 N. Race Street, Everman, Texas 76140. If you would like to hand deliver this form you can take it to the Everman City Hall, Customer Service, 212 N. Race Street, Everman, Texas.
Please choose *

I request that my personal information maintained by the City of Everman Water Department be kept confidential under Texas Utilities Code, Chapter 182 I DO NOT WISH for confidentiality of personal information maintained by the City of Everman Water Department
Signature *

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Water/Sewer Service Application

Residential Certificate of Occupancy Inspection Requirements

Commercial Certificate of Occupancy Requirements of Inspections

Water Bill Delinquency Policy - Final Out Procedure

Request for Confidentiality of Personal Information Maintained by The City of Everman Water Department