HomeMy WebLinkAbout20171240 Henry St Condos Water Svc Agreement City f Saratoga Springs ANTHONY L SC��C
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OFFICE OF PUBLIC WORKS T eTHY J, C€
5 'Lake Avenue DEPUTY COMMISSIONER
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�. New York 12866
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NEW WATER SERVICE CONNECTION
AGREEMENT & APPLICATION FORM
Henry St .
Condominiums
livable ;' Frank Pari lto Project Name (if app
Property Owner's Name:
Henryreet Taxap#: 165 . 52 - 3 - 31
Property Address: �- 2 0 nr y
Size of Tap (check one below):
0 „ 01" El Greater than 1"
/ A 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.
' Water per Year: 263,t� 14 C.F.
2 4 Estimated Cubic Feet of
Number of Dwellings:
To be completed in fullwithout any contingenciesor 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.
that they have full and complete authority to execute this document and find and commit the
The undersigned represents to the City Y
developer to abide by the CityWater ordinance. This agreement shall be binding on all of the undersigned transferees.
t p.py 1The undersigned acknowledges of . document will be delivered to all appropriate and necessary governmental entities.
- •
.,�V Company Name: Design Logic Architects
Signature:Authorized ni
18 Ct ■ ute D ive E , Suite 103 , Alban , NY 12205 .�
Company Address..
Phone Number: 518 . 426 . : 880 Fax Number:
Date: 04 / 20 / 17Pho
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Department of Public Works Approval:
Date:
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