Any person who desires or is required to secure water service when such service is available from the municipal water system shall file with the water department a written application and agreement for the service, which shall be in substantially the following form:

__________, UTAH

APPLICATION FOR WATER SERVICE

TO THE MUNICIPALITY OF __________, UTAH

The undersigned hereby applies for water service from the municipality of __________, Utah, for premises located at __________, and hereby agrees:

1.    To pay charges for such water service as are fixed from time to time by the governing body.

2.    In the event of a failure to pay water charges within the due dates fixed by the governing body or of a failure of the occupant of the premises to conform to the ordinances and regulations established by the governing body regulating the use of the water system, that the municipality shall have the right to discontinue the water system service at its election, pursuant to five days’ written notice of the municipality’s intention, until all outstanding utility charges and any reconnection fees imposed are paid in full or until any failure to conform to this ordinance or regulations issued thereunder is eliminated.

3.    To be bound by the rules, regulations, resolutions, or ordinances enacted or adopted by the governing body applicable to the municipality’s water system.

Applicant does hereby deposit $ __________ with the municipality on the filing of this application for water service, and it is agreed and understood that the municipality may, but need not, apply the deposit upon bills due for prior service and that the right of the municipality to shut off service as above provided shall exist even though the deposit has not been applied to the payment of past due bills for services. On final settlement of applicant’s account, any unused balance of the deposit will be refunded to applicant upon return of the security deposit receipt issued by the municipality at the time the deposit is made.

4.    That the deposit shall not be considered as an advance payment for any service. Charges and unpaid accounts shall be considered delinquent notwithstanding the existence of the deposit, and the applicant or user of water service shall not have the right to compel the municipality to apply the deposit to any account to avoid delinquency.

Dated this __________ day of __________, 20__________.

__________
(Applicant)