Printable Form W-11 Vallejo California 2017-2025

Printable Form W-11 Vallejo California: What You Should Know

Water Service to the Property will start on the date you print □ Address of Property to be served: (This property cannot be moved) □ If you want to install a new water heater, you must first contact  the City Council member. To find the mailing address, see the  Form W-11 (If you are not a qualified employee) □ If you are a qualified employee, you can use the form to make any of the 3 Additional Service Requirements: □ If your water supply is in Vallejo, you must use the form to make your payments only if the new supply is within 5 miles of the date of service □ If you are using water from the City of San Jose, California, you must use the form to make payments only if the new water is within 10 miles of the date of service □ Please complete the information on the form in plain language. A person using the additional service forms can be subject to perjury charges under state law. The City of Vallejo, is not responsible for this liability. (See City of San Jose Municipal Code § 4.055) If you make payments to a neighbor(s), the neighbor(s) must use the additional service statements only if the neighbor(s) own the property on which the service will be provided. There is a maximum of 3 residential service reports per customer/resident (Permits) for the City of Vallejo; however, a resident may submit to the City a number of additional services if the resident/customer has purchased permits from the City. Note: A resident is not required to submit for additional permits to the City to receive additional water service. For an estimate of the charges for additional service, see the  Additional Service Page. □ Businesses are strongly encouraged to contact the City for more information about the additional service requirement (see the  Additional Service Page). Additional Service Requirement — Business Water Charges (WAC) Business Water Charges Monthly Water Usage Rate Business Rate Per 100,000 Gallons Residential Per 50,000 Gallons Business Per 50,000 Gallons Annual Residential WAC (Per 100,000 Gallons): 1.5 times the residential rate WAC (Per 50,000 Gallons): 1.5 times the business rate 2.25 times the residential rate 2.

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