MATERSEWERICARBACE SERVICE APPLICATION. AGREEMENT, & ADJUSTMENTS City of Covington, Virginia  Central Accounting Office PO. Box 900 Covington, VA 24426 (540). 965-6314 MAILING ADDRESS  DATE  ACCOUNT NUMBER SPOUSE NAME OWNERS ADDRESS  NAMEE ADDRESS  SOCIALS SECUNITY NUMUDE  BY  HOMET TELEPHONE NUMBER EMPLOVERSRANE  AUSINESS PHONEN NUMBER  NIMBER  TURN ONDI CUTOFF CHANGE MAILING ADDRESS D  CHANGE OF ADDRESS D NEW ACCOUNT OWNER D  CHANGE OF NAME & CODE NO. D  NEWS ACCOUNT RENTER D DISCONTINUE SERVICE D  CURRENTARREARS SEWER  DEPOSIT SEWER  DETALL AMOUNTOF ORISINAL CHARGE CORRECT AMOUNT TOBEPAD INCREASE CHARGE DEBIT AMOUNT: DECREASE CHARGE CREDIT MMOUNT  OTHER  TOTAL  WATER  GARBAGE  WATER  GARBAGE  IN CONSIDERATION OF SERVICES PROVIDED, BY THES CITY OF COVINGTON, THE APPLICANT AGREES TO PAY THE  FOLLOWING CHARGES FOR THE  TOTAL AMDUNT  WATER  SEWER  GARBAGE  PER BILLING PERIOD THE CURRENT RATE. WILL SE:  APPLICANT FURTHER AGREES. TO PAYI FOR ALL ABOVE SERVICES FURNISHED SAID PREMISES AT ANY NEW RATE: HEREAFTER ESTABLISHED IN ACCORDANCE WITH THE CITY ORDINANCES GOVERNING WATER, SEWER AND. GARBAGE APPLICANT: AGREES TO: NOTIFYTHE CITY WHEN MOVING FROM ONE ADDRESS: TO ANOTHER: IN THE. CITY ANDTO PAYANY APPLICANT RECOGNIZES THE CITY'S RIGHT TO DISCONTINUE AT ANY TIME THE FURNISHING OF WATER, SEWER. AND: GARBAGE SERVICES IF BILLS ARE NOT PAID ATTHE PROPER TIME OR FOR VIOLATION! OF ANY RULE GOVERNING WATER,  CHARGES.  APPLICANT AGREES TO PAY A DEPOSIT: IN ACCORDANCE WITH THES CITY ORDINANCES,  CHANGE OF ADDRESS CHARGE ESTABLISHED BY THE CITY COUNCIL APPLICANT WWILL NOTIFY THE CITY WHEN SERVICE IS TO BE DISCONTINUED.  SEWER OR GARBAGE. EXPLANATION  By  APPLICANTS: SIGNATURE DATE:  APPROVED! BY  AGCOUNTING SUPERVISOR: