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7/1/16 <br /> IVElk River RESIDENTIAL WATER CONNECTION <br /> Municipal Utilities AGREEMENT <br /> Owner <br /> Mailing Address <br /> Phone# Fax# Email <br /> (Hereinafter called the Owner),in accordance with the following terms and conditions: <br /> The owner hereby requests permission to connect to the Elk River Municipal Utilities(ERMU)water system located at: <br /> 1. Location of premises: <br /> Address <br /> Lot Block Addition <br /> 2. The following fees,terms and conditions shall apply: <br /> A) Home Builder/Owner shall complete an ERMU Residential Water Connection Agreement. <br /> B) A Sewer and Water Hook-Up Permit and Plumbing Permit are required by the City of Elk River.Copies of the <br /> permits must be provided to ERMU before delivery of the water meter will be made. <br /> C) Plumber shall install the meter. <br /> D) Notification by the plumber that the water meter has been set and ready for seal and inspection by ERMU <br /> Water Department shall be done at least 24 hours prior to final plumbing inspection by the City Building <br /> Department.Certificate of Occupancy will not be issued until meter is sealed by ERMU Water Department. <br /> E) Owner agrees to pay the sum of the following per ERMU fee schedule,plus applicable tax: <br /> $ Water Connection Charge <br /> $ Water Availability Charge(if applicable)* <br /> $ Water Meter <br /> $ Sales Tax on Water Meter <br /> $ TOTAL AMOUNT DUE <br /> *Please contact Elk River Municipal Utilities to determine if water availability charge has been prepaid. <br /> By signing below,Owners confirms that Owner has read,understands,and agrees to the terms and conditions set <br /> forth above. <br /> Owner Date <br /> 64 <br />