HomeMy WebLinkAbout20220240 110-114 Nelson Final Subdivision Water Service Connection Agreement °' "�'' � City of Saratoga Springs
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�, ' Department of Pu61ir Works
- ,� : Anthony J. Scirocco
� °� S Ltxke Avenue Commissioner
���-�� � Saratoga Springs, NY 128b5
�(5.18J 587-3550 offrce Joseph J. 0"N�ill '
uvww.saratoga-springs.org Deputy Ccmmiss7oner
fVEW WATER SERVICE CONNECTION
AGREEIUIENT & APPLICATION FORM �
, .�W Hemmingway, LLC 11Q-114 Nelsor� A�enus
Property Owner s Name Project Name (if applicable)
PropertyAddress 110-114 Nelson A�enue TaxMap #: I �6•7'l4-17
Size af Tap (check ane below} '
X / " 1" Greater than 1"
A unit of water shall be defined as 14,�Q0 �faurteen
thousand) cubie feet of water per year.
Cvntact the Utilities Department at ext. 2502 for
assistance with water us� estimation and meter
. specificatir�ns before signing below.
Number of Dwellings: � Estimated Cubic Feet �f Water per Year
64,407 cf/ysar
Ta be completed in fuil without any eor�tingencies or protest, on or before the Building Inspectar appro�al of
the rough plumbing, including th� installation of the water meter, or at the time of the issuance of a tappin�
permit.
The undersigned repre5ent5 to the City that they have full and complete autharity to execute this document
and fir�d and commit the de�elaper to abide by the City Water Ordinance. �his agreement shali be binding on
all of the undersigned transferees.
The undersigned acknowledges that a c�p�,of this document will be delivered ta apprapriate and �necessary
ga�ernmental ent�ties-��------�___Y
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Authorized Signature � �N.S� Print Name �ohn Witt
Carr►pany Name & Address JW Hem ��.�V'4�a�/, LL�v
Campany Phone Number ��� $� 559-4� � 3 Fax Number oate � �- ��
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Department of pubiic Warks Appraval Date: