TOWN OF NACHES
TOWN OF NACHES
29 E SECOND ST PO BOX 95 NACHES, WASHINGTON 98937-0095
UTILITY ACCOUNT CHANGE FORM
Physical Address:____________________________________Account Number_______
PLEASE COMPLETE:
WATER: ON OFF GARBAGE: ON OFF OVER 65: YES NO
SEWER: ON OFF IRRIGATION: ON OFF NOT PD: YES NO
For a change in property owner or mailing address, please complete the following:
Property owner change Change in Mailing Address
PREVIOUS INFORMATION: NEW INFORMATION:
Name______________________________ Owner’s Name_________________________
Mailing Address:_____________________ Renter’s Name_________________________
City, State & Zip_____________________ Mailing Address________________________
Home Phone ( )____________________ City, State & Zip________________________
Work Phone ( )_____________________ Renter’s Phone Number__________________
RESPONSIBILITY FOR UTILITY CHARGES:
All accounts for utilities shall be kept in the name of the legal property owner as listed by the Yakima County Assessor’s Office. The property owner shall be responsible for payment of all charges set for by the Naches Municipal Code and/or ordinances of the Town of Naches. At the request of the property owner, the Clerk/Treasurer may bill the consumer(s) but the charge(s) to the property shall ultimately be the responsibility of the property owner.
Signature:____________________________________Owner Agent Date:________
Office use only
Meter Serial Number__________Meter Reading__________Date__________By________
Date Received_____________By___File Changed__________By___Billing______By___
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