Fillable WNER APPLICATION FOR UTILITY SERVICE (City of Sumner)

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WNER APPLICATION FOR UTILITY SERVICE (City of Sumner)

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O
WNER APPLICATION FOR UTILITY SERVICE
O
wner Name: Owner Phone #
Owner Mailing Address:
Tenant Name:
Ser
vice Location: Start Date:
1. T
he Owner agrees to pay for the services provided in accordance with the rates now in effect or as
subsequently increased or decreased by ordinance or resolution.
2. In the event of disconnection (water shut off) due to delinquency, all charges must be paid to restore
service. The Owner will be notified prior to termination of service by written notice sent to the
mailing address.
3. Utility charges are due upon receipt and become delinquent if not paid within 20 days of the billi
ng
da
te. A penalty of $15.00 or 5% is added to all delinquencies (whichever is greater.) Disconnection is
scheduled 40 days after the date of delinquency.
4. The City reserves the right to require cash to redeem any check returned by the bank for any reason.
5. The Owner will provide the City with an accurate mailing address for bills. The City will also mail
bills to the Owner’s tenant, or to a property management company, provided however
that the
O
wner is always liable for payment of the charges incurred at the premises, whether occupie
d in
pe
rson by the Owner or by the tenants.
6. The Owner will keep the meter or meters accessible at all times. The Owner agrees to pay for a
ll
da
mage to the meter which may occur through the act of negligence of the owner. The Owner is
solely responsible for the maintenance of all pipes located on the Owner’s property.
Owner Signature: Date:
R
eturn completed forms to the Finance Department in person or via fax. Photo ID is required.
Late Fee: 5% of owing balance or a minimum of $15.00 Non-Sufficient Funds (NSF) Fee: $40.00
Shut-off Fee: $40.00
Utility Rates are subject to change. For the latest list of fees, go to www.sumnerwa.gov and look under Services, Utilities or
refer to City of Sumner Municipal Code.
For Office Use
ID checked: □ Yes □ No □ Fax □ In Person
Finance Department 1104 Maple Street, Sumner, WA 98390 253-863-8300 Fax 253-299-5509
utilities@sumnerwa.gov
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WNER APPLICATION FOR UTILITY SERVICE (City of Sumner)

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Completed 16 July 2020

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