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2. 
4. UTILITIES AGREEMENT - RENTAL
   Water and/or Solid Waste and Storm Water Services (801) 576-6512 or (801) 576-6504
6. Application Information
   Please fill out the information below if you are the renter of the property. Once you have filled out the form, click on submit and your application will be sent to the Draper City Financial Department. A copy of the bill will be sent to the owner so they will be aware of the account status.
8. Move-in Date*
10. Enter Complete Service Address*
12. Renter's Full Name*
13. Last Name*
15. Cell Phone Number*
    Enter in cell phone number.
16. Additional Phone Number
    Enter in additional phone number if applicable.
18. Email Address*
    Enter in your email address.
22. Other Occupant
    Enter full name of other occupant if applicable.
24. Other Occupant Cell Phone Number
    Enter cell phone number.
25. Other Occupant Email Address
    Enter email address.
29. Mailing Address (If different from property address)
31. City
32. State
33. Zip
37. Property Owner's Full Name*
    Enter in the property owner's full name.
39. Property Owner's Telephone Number*
    Enter property owner's telephone number.
40. Property Owner's Email Address*
    Enter property owner's email address.
44. Draper City Municipal Code
    Draper City Municipal Code
46. Terms & Conditions
    By entering your signature in the box below, you are entering into an agreement with Draper City for your utility services. and that you have read and agreed to the Draper City Municipal Code regarding utility service. I hereby apply to Draper City for permission to connect to the Draper Water System and/or participate in the Draper City Solid Waste Program and Storm Water System.
48. Utility Agreement*

    1. Yes, I agree with the Draper City Municipal Code regarding the Utility Terms and Conditions.
50. Signature*
    Please enter your full name.
52. Comments
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field