Notary services are available at City Hall, free of charge to the public, during regular business hours.
Calender Year:
Landlord Name:
Mailing Address:
City State Zip:
Phone:
Emergency Contact and Phone:
Email Address:
$45.00 for 1 unit + $5.00 for Each Additional Unit (Commercial & Private)
$15.00 (Renewals received after January 31)
You must call the city office to submit your payment before your application will be processed. 503-556-7301
Choose One: Owner Trustee Property Manager
Water / Sewer Service - Choose One: Leave on Between TenantsI agree that water/sewer service will be left on and billed to the address above when any tenant's account is closed, and I agree to pay for all water/sewer charges until an account is opened in the name of a tenant. I understand that it is my responsibility to notify the City of Rainier to terminate the billing in my name when the property is rented. I also understand that I am responsible for the billing up to such a time that the City of Rainier receives proper notification. Shut Off Between TenantsI disagree that the water/sewer service will be left on. I understand that the water/sewer service will be terminated when the tenant's account is discontinued for any reason and the City of Rainier assumes no responsibility for any expenses, costs or damages of any kind arising from the termination of the water/sewer service. I understand that there will be a $25.00 turn-on fee each and every time the service is activated. Re: cleaning, inspections, etc.
Properties Covered: Please list services addresses, one per line.
I understand this agreement will become null and void when the City of Rainier receives a written termination request.
Authorized Signature:
Today's Date:
NOTICE: Acceptance of business license application does not certify that applicant has complied with all City Code provisions.
