HomeMy WebLinkAbout20221027 Skidmore Construction Wellness Center Water Service ConnectionPN City of Saratoga Springs ANnromJ.ScmoCco
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COMMISSIONER
f�. OFFICE OF PUBLIC WORKS TimoTHY J. CoDAN
N 5 Lake Avenue DEPUTY COMMISSIONER
z Saratoga Springs, New York 12866
(` Y
Phone 518-587-3550 ** Fax 518-587-2417
�`\Poan.co '9 y www.sarstoga-springs.org
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Skidmore College
Property Owner's Name: Project Name (if applicable):
815 North Broadway 152-1-13
Property Address: _ Tax Map#:
Size of Tap (check one below):
❑%91 Dlf
Number of Dwellings:
Freaterthan 1"
v unit of water shall be defined as fourteen thousand (14,000) cubic feet
of water per year.
Contact the Water Dept at ext. 2502 for assistance with water
use estimation and meter specifications before signing below.
Estimated Cubic Feet of Water per Year: 601,155
To be completed in full without any contingencies or protest, on or before the Building Inspector approval of the rough plumbing,
including the installation of the water meter, or at the time of the issuance of a tapping permit.
The undersigned represents to the City that they have full and complete authority to execute this document and find and commit the
developer to abide by the City Water Ordinance. This agreement shall be binding on all of the undersigned transferees.
The undersigned acknowled es that a copy is doc ent will be delivered to all appropriate and necessary governmental entities.
Authorized Signature: Company Name:
Skidmore College
Company Address: 815 North Br adway, Saratoga Springs, NY 12866
Phone Number:
(518)580-5860
Fax Number: Date:
Department of Public Works Approval: Date: