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Date you will be wanting the new services to start at the new address.
Date you are wanting to stop services at the old address you will be moving from.
Answer Yes or No
City Hall will contact you via Phone Number on this form to complete application.
The connection fee is a one time charge and will be added to your first bill. If you are a new customer to Clearwater the fee will be $50.00. If you already have utility services in your name and are moving to a new home your fee will be $15.00.
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