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Year-Round Application for Service

For the use of owners only

in the City of Peterborough, in which building there is rental accommodation. 

And whereas such accommodation is normally occupied by a tenant who applies and receives, water, sewer and/or rental services from the City of Peterborough.

As the owner/agent of the said premises, I hereby authorize the said City to connect the supply of services into I, the undersigned’s name upon the request for final readings from any tenant.  A letter informing said property owner/agent of the requested date of final reading would be issued when the tenant contacts the City of Peterborough, Services Peterborough – Water Services department. 

And I, the undersigned, hereby agree to pay the charges of the said services from the day of the final reading until the said rental property is occupied by a new tenant.

I further agree that should I dispose of, or sell the above property I will notify the City immediately in order that this agreement will be cancelled and that my responsibilities cease. 

I further agree that should I fail to advise the said Company in the event that I dispose or sell the above property that my responsibility will continue in force as outlined above.

Owner

Mailing address

Clear

Notice with Respect to the Collection of Personal Information (Municipal Freedom of Information and Protection of Privacy Act)

Personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25 and will be used to respond to problems or concerns reported, as well as to ensure the efficiency and effectiveness of programs and services delivered by the City of Peterborough. Questions about this collection may be directed to our Customer Service Coordinator at 705-742-7777 ext. 1868 or by email



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