Fillable Water Service Line Protection Program Rental Property Registration (Owatonna Public Utilities)

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Water Service Line Protection Program Rental Property Registration (Owatonna Public Utilities)

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Water Service Line Protection Program
Rental Property Registration
________________________________________________________ (_____)_______-____________
Name: Last, First MI Phone
_______________________________________________________________________
Mailing Address City State Zip
Services must be residential only services 1” or less to qualify for the Program. Water services serving both
commercial and residential water customers off the same line are not eligible. Services larger than 1” will
not be included in the program. Charges will be applied to an annual billing if water services are not already
paid by Landlord. The cost of service shall be $.99/month/service and may be adjusted annually. By
signing below, you agree to the terms and conditions of the Water Service Line Protection Program.
X _____________________________________________________ ____________________
Signature Date
Yes No
Service Address
Continue Protection?
Yes No
Service Address
Continue Protection?
Yes No
Service Address
Continue Protection?
Yes No
Service Address
Continue Protection?
Yes No
Service Address
Continue Protection?
Yes No
Service Address
Continue Protection?
Contact Info Rental Pro
p
ert
y
Information
Office Use Only
Customer #
Location #
Location #
Location #
Location #
Location #
Location #
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Water Service Line Protection Program Rental Property Registration (Owatonna Public Utilities)

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Completed 8 June 2021

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