HomeMy WebLinkAbout952043.tiff Tap No. -
LITTLE THOMPSON WATER DISTRICT
Domestic Water Agreement
This Agreement made this "�' / df /
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by and between
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-1="'=� Land Owner, Hereinafter referred to as User, and
LITTLE THOMPSON WATER DISTRICT, a statutory water district, herinafter referred to as the District, is upon the
following terms and conditions, for the property and water to shown below:
Legal Owner of Property:
Street Address of Property:
Town and Zip Code: AlJ 4 c - �� LTWD Tap No: /--r/ !1-0/1
Purpose of Domestic Water Service: -E— —c
Residential Single Family; Multi-family; Commercial; or Other (describe)
WHEREAS the District is the owner of facilities for the purpose of furnishing Domestic Water to users within said District:and
WHEREAS the user is desirous of obtaining domestic water for his property,
NOW THEREFORE, the parties hereto agree to the following:
1. This agreement shall be the binding contract between the User and the District.
2. User hereby agrees to pay to the District such sum as may be prescribed from time to time by the Board of Directors as the
water rate or charge for such water service. Payments shall start when the District installs the tap and water is available for
delivery. A minimum payment, as prescribed from time to time by the Board of Directors of the District, shall be due and
payable regardless of water use.
3. Until paid,all rates,tolls,or charges shall constitute a perpetual lien on and against the property served,and any such lien
may be foreclosed in the same manner as provided by the laws of the State of Colorado for the foreclosure of merchanic's lien.
The District shall shut off or discontinue service for account delinquencies or other violations of the District's Rules and
Regulations.
4. No water service may be obtained except upon property included within the boundaries of the District. User agrees to
include the property served within the District, if this has not been previously accomplished.User further agrees that he will
not permit other persons to use water furnished to him under this agreement.
5. District agrees to furnish water to User PROVIDED,that the District shall not be liable for loss to User for failure to deliver
water because of war, riot, insurrection, breaks in the water system or Acts of God.The District shall endeavor to repair all
breaks promptly on District lines.
6. User agrees to abide by such other rules and regulations of the District regarding the use of water as may be established from
time to time by the Board of Directors. y�
7. The user's name and billing address for all statements and notices is: J1 e I ( K( I
/.') 2 7 T .;r✓,-..-,- 2
To 7053e
Phone: G &7- V Z
IN WITNESS WHEREOF the parties have subscribed their names the day and year first above written.
LITTLE THOMPSON WATER DISTRICT
BY: --=-<' -, z�i: se"".~ !/L''16M R i/ �,�
(Signature of Land Owner)
LTWD Form 120
(Rev. April, 1986)
952043
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