HomeMy WebLinkAbout20221039 Excelsior Ave SUP Extension Water Service AgreementCity of Saratoga Springs
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COMMISSIONER
OFFICE OF PUBLIC WORKS
TIMOTHY J. COOAN
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5 Lake Avenue
DEPUTY COMMISSIONER
-
Saratoga Springs, New York 12866
Phone 518-587-3550 ** Fax 518-587-2417
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www.saratoga-springs.org
NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Excelsior Park, LLC Excelsior Park
Property Owner's Name: Project Name (if applicable):
Property Address:
Excelsior Ave & Ormandy Lane Tax Map#: %6.1.24 166-1.5 n1_ t66_1.515 155 _, 51915525-1,34
Size of Tap (check one below):
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62
Number of Dwellings:
reater than 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: 2,095,250
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
Authorized Signature:
Company Address:
Phone Number:
a copy tthis document will be delivered to all appropriate and necessary governmental entities.
518.587.4113
Company Name: Excelsior Park LLC
Springs, NY 12866
Fax Number: Date:
Department of Public Works Approval: Date: