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Accessibility Commitment
Water and Sewer Application
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Water and Sewer Application
Date:
Account No.:
The following information is confidential. The Township of North Dundas reserves the right to utilize any or all of the information to conduct a credit check as a condition of supply of the service.
Name:
First:
Middle:
Last:
Service Address
Service address:
City/Town:
Postal code:
Effective date:
Lawyer's name (if new owner):
Owner's name (if tenant):
Employer:
Residence phone:
Email address
Business Address
Business address:
City/Town:
Postal code:
Driver's license:
Social insurance no.:
Date of birth:
Spouse's name / Co-tenant's name(s):
His / Her employer:
Previous employer:
Length of time at previous address?
Did you receive the Billing and Collection Policy (B&CP)?
Yes
No
Sign & Date Receipt of Contract and B&CP:
Sign above
Signature of witness:
Sign above
Name:
Account No.:
Application for Water and Sewer
The undersigned, herein called the customer, hereby requests the Township of North Dundas herein called the Corporation, to supply water and sewer, to the customer at the premises described at:
undersigned
Winchester/Chesterville, which premises are occupied by the Customer.
This application, when signed by the Customer and accepted for the Corporation by the signature of its authorized officer, shall be a contract between the customer and the Corporation under and governed by the Public utilities Act. R.S.O. 1990, Chapter P.52 and amendments thereto. The Customer and the Corporation agree to comply with the conditions listed below and agree that the said conditions are part of this contract.
The Customer agrees to take water and sewer services from the Corporation in accordance with the terms and conditions hereof and to take the same exclusively from the Corporation. The Customer further agrees to pay the Corporation at the authorized rates from the date on which service is connected.
CONDITIONS
The authorized rates may be revised by the Corporation from time to time.
The Customer agrees to provide convenient and safe space, free of charge or rent, for the Corporation’s meters, wires and other appliances on the said premises, and further agrees that no one who is not a servant or agent of the Corporation or otherwise lawfully entitled to do so, shall be permitted to remove, inspect or tamper with any of the said equipment of the Corporation, and that the properly authorized servants or agents of the corporation shall, at all reasonable hours, have free access to the said premises for the purpose of the reading, examining , repairing or removing the said meters, wires and other appliances.
Meters and all other equipment of the Corporation on the said premises shall be in the care and at the risk of the Customer, and if destroyed or damaged, other than by ordinary wear and tear, the Customer shall pay to the Corporation the value of such meters and equipment, or the cost of repairing or replacing the same.
If at any time a bill for water and sewer under this contract is in arrears or if the Customer fails to perform any other obligation hereunder the Corporation may, in addition to all other remedies, discontinue the service and/or terminate the contract, and upon such termination the Corporation may remove the meters and other equipment installed by it on the Customers Premises.
The Corporation agrees to use reasonable diligence in providing a regular and uninterrupted service, but does not guarantee constant services. And will not be liable in damages to the Customer by reason of failure in respect thereof.
This contract shall not be binding upon the Corporation until accepted by it through its authorized officer, and shall not be modified or affected by any promise, agreement or representation by any agent or employee of the Corporation unless incorporated in writing into this contract before such acceptance.
The Customer, if required by the Corporation to do so, shall provide a deposit and keep the deposit with the Corporation in sum of $_____as a security for the performance of the Customer’s obligations under this contract.
This contact will continue in force for a period of one year form the date which the service is connected and shall continue in force thereafter until terminated by a least one month’s notice in writing given by either party to the other.
This contract shall be binding upon the parties hereto, and their respective heirs, executors, administrators, successors or assigns, and the vacating of the premises herein named shall not release the Customer from this contract except at the option and by written consent of the corporation.
All plumbing, pipes and fittings, fixtures and other devices for conveying, distributing, controlling, or utilizing water, which are used by a customer and are not the property of the Corporation, shall be installed in accordance with the National Building Code of Canada. The water shall not be turned on (except for construction or testing purposes) until the applicant for services has satisfied the Corporation that these requirements have been met. The supply of water may be discontinued to any customer at any time, if, in the opinion of the Corporation, the plumbing, pipes, fittings, fixtures, or other devices as hereinbefore mentioned, or any of them, fail to comply with the above requirements, or if any part of the water system of such customer or the meter is in any way unsuitable, dirty or unsanitary. Service shall not be reestablished until such condition is corrected to the satisfaction of the Corporation.
If at any time a bill for service for water and sewer under this contract has to be sent to collection, all costs included shall be borne by the Customer.
Customer signature:
Sign above