SERVICE APPLICATION FOR WATER, ELECTRIC AND/OR SEWAGE
COMMERCIAL OR INDUSTRIAL CUSTOMERS:
MAILING ADDRESS (IF DIFFERENT FROM ABOVE)
Applicant agrees to pay all valid bills or charges for all Utility Service, including for damage to any meters, and Applicant hereby
authorizes the shutting off all Utility Services for any failure of payment.
Applicant further agrees that payment for all Utility Services shall be the primary responsibility for the owner of the property
served by the Proctor Public Utilities and that any and or all unpaid amounts for Utility Service shall be a lien on the property upon sale of
In the case of rental property, the tenant and owner hereby grant permission for the PUC to release Utility Services account
information, including, but not limited to, duplicate copies of bills for any Utility Services account to the owner and/or tenant.
Applicant also herby agrees PUC has the right to access to any meters at all reasonable hours for readings and/or examination of
By signing this application, the applicant agrees that the water meter inside the building is always considered to be the correct
reading (unless determined by PUC otherwise), and not that of the water remote attached to the outside of the building. If there is any
discrepancy between the remote reading and the water meter reading PUC will, based on its findings, schedule the necessary repairs and
either bill the applicant for the additional consumption or credit the applicant’s account for the overestimate; therefore, it is in the
applicant’s best interest to periodically compare the two readings and promptly notify PUC of any discrepancies. (If applicable)
Agreed this _____________ day of ____________________________________, 20_________________
Applicant Signature ____________________________________________________________________
ID TYPE_____________________________________ ID #______________________________________________
PREVIOUS CUSTOMER OF PROCTOR PUBLIC UTILITIES YES NO IF YES,
SERVICE WAS IN THE NAME OF _________________________________________________ DATE
ACKNOWLEDGMENT OF RESPONSIBILITY:
In the event the tenant/contract vendee fails to pay any billing hereunder, the PUC and/or City of Proctor shall
bill the landlord/ fee owner the remainder prior to resumption of service.
Landlord/ Fee Owner Signature ________________________________Date________________________________