DATE:            ______________________

 

TO:                  Property Owner

 

NAME :          ________________________

(Property Owner)

 

RE:                  Rental/Lease Permission from Property Owners

 

SERVICE ADDRESS OF PROPERTY: ________________________________

 

_________________________________________________________________

 

 

 

 

This form will serve as permission for the listed tenant (s) to have water service put in their name.  Please list tenants name and anyone else on lease.  

 

__________________________________________________________

 

__________________________________________________________

 

 

This form must be signed and returned to the water office before water service contract can be completed. 

 

A lease agreement or this form will serve as written permission from the property owner. 

 

Thank you for your cooperation.

 

 

 

 

 

 

 

________________________________                    __________________________

Property Owner Signature                                           Property Owner’s Phone Number