California Utility Services

California Utility Services
14421 Sylvan Street
Van Nuys , CA 91401
1-800-400-1727
FAX 818-780-1419
www.cautilityservices.com  Email: info@cautilityservices.com
AUTHORITY TO OBTAIN BUILDING PERMIT
I/WE AUTHORIZE CALIFORNIA UTILITY SERVICES AS OUR AGENTS TO OBTAIN A BUILDING PERMIT TO INSTALL A SEPARATE WATER METER FOR THE FOLLOWING LOCATION:

ADDRESS:___________________________________________________________
                        Street Address                                       City                                  Zip

PHONE NUMBER:(____)____________________________________________

PROPER NAME AS IT APPEARS ON TITLE_______________________________

SIGNATURE ____________________________DATE: _____________________

AUTHORITY TO APPLY FOR WATER METER
PICK UP AND DELIVER METER  
I/WE AUTHORIZE CALIFORNIA UTILITY SERVICES TO SIGN ANY NECESSARY DOCUMENTS TO APPLY FOR AND OBTAIN A SEPARATE WATER METER FROM THE DEPARTMENT OF WATER AND POWER.

NAME ON DWP BILL:____________________________________

ADDRESS OF PROPERTY:________________________________

DATE: _________________________

SIGNED: _____________________

PRINT NAME___________________