Please correct the field(s) marked in red below:

1
Service Address:
 *
2
If multi-unit, list apartment or suite numbers.
Numbers must be at least three digits long, starting with the floor number followed by the apartment number. For
example, apartment 1 on floor 1 would be number 101, and apartment 5 on floor 3 would be 305.
3
What will be the primary use of this structure?
What will be the primary use of this structure?
4
Each apartment must be individually metered for electric service unless prior written approval is obtained from the
City of Ames Electric Services - Electric Engineering Division.
Will each apartment be individually metered for water service?
Each apartment must be individually metered for electric service unless prior written approval is obtained from the City of Ames Electric Services - Electric Engineering Division. Will each apartment be individually metered for water service?
5
Please Indicate ALL Meters That Will Be Needed For This Location:
Please Indicate ALL Meters That Will Be Needed For This Location:

Orders for meters will be sent to the Electric Meter and/or Water Meter Divisions within one week of receipt of this
form in the Utility Customer Service office. Contact the Electric Meter Lab (239-5510) or the Water Meter
Division (239-5151) when you need meters installed.

Please Complete The Following Information To Assure Proper Billing:

6
Electrician:
7
Electrician Phone:
8
Plumber:
9
Plumber Phone:
10
Builder:
11
Builder Phone:
The person/company listed below agrees to abide by the Utility’s rules as listed in the City Tariff and shall pay all
bills rendered for meters and utility consumption. If the person/company listed below is not a current or previous
customer of the City of Ames Utilities, then the person/company must complete an application for service before this meter request will be processed.
  Applications can be found at https://www.amesutilities.com under Downloadable Forms.  If you have any questions, you can call 515-239-5120.
12
Customer Name:
 *
13
Mailing Address:
 *
14
Name/Title of person making request:
 *
15
Email address of person making request:
 *
16
Phone Number of Person Making Request:
 *
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