HomeMy WebLinkAbout20260094 29 Myrtle St Subdivision Water Service AgreementCity qf Sa ra I o-) r i �i ,v
Drpartment k
c, /Ff)rk.v
r _
-tv atltlress)
1.5 Vati(Inobilt 4vemue (teunpora?
"'0 f"P -?f
Saratoga Springs, Nr 12866
�''Vo office
(518) 58 -it
zmvzv. sa ra toga -sp rings. 0 rg
NEW WATER SERVICE CONNECTION
AGRI?i?MINT & r\PPLICA"PION FORM
Property Ownerr s Name 29 Myrtle Street, LLC
Property Address 29 Myrtle Street
Size of Tap (check one below)
x
Number ot'Dwellings: 4
Anthony J. Scirocco
Commissioner
josepli J. ONeill
Deputy Commissiorier
Project Nance (if applicable)Myrtle Street Subdivision,
Tax Map #- 165.49-2-30,165.49-2-28
Greater than if.F
A Unit of water shall be defined a5 I4,000 (foLirteen
thousand) cubic feet of water per year.
Contact the Utilities DeT)artment at ext. 2502 for
assistaiwe with water use estimation
specifications before signing below,
Estimated Cubic Feet of Water per Year
and meter
64,240
To be completed in fidl 1.6thnut any contingencies or pretest, on or before the Blinding Inspector approval of
the rough plumbing, iiic•lucling the installation of the water meter, or at the tirne of the issuance of a tannin
permit..
The undersigned represents to the pity that they
and find and commit the developer to abide by the
all of the undersigned transferees.
leave full and complete authority to execute this document
City Water Ordinance. This agreement shall be binding on
The undersigned acknowledges that a copy of this document will be delivered to appropriate acid iiecessary
governmental entities.
Authorized Signature
Print Name Hetal Amin
ComP any Name & Address 29 Myrtle Street, LLC Pa Box 819, Saratoga Springs, NY 12866
Company Phone Nuniber 91 7-689-OD84 Fax Number Date
Department of Public Works Approval I)ate: