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Residential Utility Application
REQUIRED FIELD |
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APPLICANT INFORMATION
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Property Owner Name(s):
Last Name,
First Name Middle Name |
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Property Address:
Street Address
Zipcode |
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Property Owner Mailing Address:
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Street Address |
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City |
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State |
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Zipcode |
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Driver's License
DL State
Phone# .
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Purchase Date |
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Title Company |
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Previous Owner Last Name
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Email Address
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To view your account online, please establish a PIN. Select four case-sensitive letters or numbers |
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If you would like to set up automatic payments, e-mail utilitybilling@wjordan.com or call 801-569-5020. |
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UTILITY APPLICATION AGREEMENT |
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I hereby apply and agree to receive the utility services rendered by the City of
West Jordan. I agree to abide by the City’s utility service regulations detailed
in the Municipal Code Title 9. I agree to pay all charges, fees, interest, and
penalties incurred in connection with the City’s rendering such services. I
further agree that one or more of these utility services, including water
service, may be discontinued when, after notice to me by regular mail, there
remains an unpaid balance for any of the utility services furnished by the City.
I understand that utility services will not be commenced or continued at a
particular service location if I or my tenant/ occupant at that location is
indebted to the City for utility services. If a deposit is required and
collected, I consent that upon cancellation of this agreement that all accrued
charges may be taken from such deposit, the balance of which shall be refunded
to me. I understand it is my responsibility to notify the City of any change in
occupancy status and/or billing address.
I understand that before service is commenced or restored I agree to pay all
unpaid utility service fees, late charges equal to one and one half percent (1.5%)
per month of the unpaid balance which is overdue 30 days or more, including all
reconnection costs and reasonable attorney fees incurred to enforce this
agreement. I will be responsible for collection fees up to an amount equal the
maximum allowed by the State of Utah.
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I agree to the utility application agreement set forth above.
Date |
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Print Name |
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