Common use of Vacant Property Clause in Contracts

Vacant Property. The owner of the property is responsible for all charges unless a tenant has been authorized by the property owner to be billed for service. Customer Agreement: By my signature below, I hereby request water and/or sewer service from the Maple Hill Water and Sewer District. I understand that in order to receive sewer service, I must also accept and receive water service from MHWSD. In requesting utility service, I accept full responsibility for all charges, fees, penalties, or other obligations incurred while in my name. This includes any leaks that may occur in my water line which begins at the customer’s side of the water meter. I agree to provide written notice to the District when the property is sold. I agree to guarantee proper protection for the District’s property at this service location and shall permit access to it only by authorized representatives of the District. I have been provided, read, and understand the information provided in the District’s Rules and Regulations and stated on this application/agreement. I warrant that the information provided for the purpose of obtaining utility service to be true and accurate to the best of my knowledge. It is further agreed, the Maple Hill Water and Sewer District reserves unto itself, the right to refuse or discontinue service and remove and District property from the premises if a violation of the District’s Rules and Regulations occurs. The District will not be held liable or responsible for damage of any kind whatsoever resulting from water or sewer use, or the use of water or sewer on the premises, unless such damage results directly from negligence on the part of the District. In the event of any loss or damage to the property of the District, or any accident or injury to persons or property is caused by or results from negligence or a wrongful act of the applicant, his/her agent(s), or employees, the cost of the necessary repair(s) or replacement(s), plus any cost of any part and materials along with a service fee on no less than $25.00, will be paid by the customer to the District; and any liability otherwise resulting, will be assumed by the applicant. ** NOTE: Applications signed outside the Utility Office must be Notarized. ** Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement Notary Signature and Seal Date of expiration of Commission Hydrant Meter Deposit $ Inspection Fee $ Meter Only Fee $ Transfer Fee $ Sewer Tap Fee $ Water Tap Fee $ Parcel ID # Permit # Inspection/Transfer/Deposit (Circle all that apply) Customer # Account #

Vacant Property. The owner of the property is responsible for all charges unless a tenant has been authorized by the property owner to be billed for service. Customer Agreement: By my signature below, I hereby request water and/or sewer service from the Maple Hill Rocky Point/Topsail Water and Sewer District. I understand that in order to receive sewer service, I must also accept and receive water service from MHWSDRPTWSD. In requesting utility service, I accept full responsibility for all charges, fees, penalties, or other obligations incurred while in my name. This includes any leaks that may occur in my water line which begins at the customer’s side of the water meter. I agree to provide written notice to the District when the property is sold. I agree to guarantee proper protection for the District’s property at this service location and shall permit access to it only by authorized representatives of the District. I have been provided, read, and understand the information provided in the District’s Rules and Regulations and stated on this application/agreement. I warrant that the information provided for the purpose of obtaining utility service to be true and accurate to the best of my knowledge. It is further agreed, the Maple Hill Rocky Point/Topsail Water and Sewer District reserves unto itself, the right to refuse or discontinue service and remove and District property from the premises if a violation of the District’s Rules and Regulations occurs. The District will not be held liable or responsible for damage of any kind whatsoever resulting from water or sewer use, or the use of water or sewer on the premises, unless such damage results directly from negligence on the part of the District. In the event of any loss or damage to the property of the District, or any accident or injury to persons or property is caused by or results from negligence or a wrongful act of the applicant, his/her agent(s), or employees, the cost of the necessary repair(s) or replacement(s), plus any cost of any part and materials along with a service fee on no less than $25.00, will be paid by the customer to the District; and any liability otherwise resulting, will be assumed by the applicant. ** NOTE: Applications signed outside the Utility Office must be Notarized. ** Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement Notary Signature and Seal Date of expiration of Commission Hydrant Meter Deposit $ Inspection Fee $ Meter Only Fee $ Transfer Fee $ Sewer Tap Fee $ Water Tap Fee $ Parcel ID # Permit # Inspection/Transfer/Deposit (Circle all that apply) Customer # Account #

Vacant Property. The owner of the property is responsible for all charges unless a tenant has been authorized by the property owner to be billed for service. Customer Agreement: By my signature below, I hereby request water and/or sewer service from the Maple Hill Rocky Point/Topsail Water and Sewer District. I understand that in order to receive sewer service, I must also accept and receive water service from MHWSDRPTWSD. In requesting utility service, I accept full responsibility for all charges, fees, penalties, or other obligations incurred while in my name. This includes any leaks that may occur in my water line which begins at the customer’s side of the water meter. I agree to provide written notice to the District when the property is sold. I agree to guarantee proper protection for the District’s property at this service location and shall permit access to it only by authorized representatives of the District. I have been provided, read, and understand the information provided in the District’s Rules and Regulations and stated on this application/agreement. I warrant that the information provided for the purpose of obtaining utility service to be true and accurate to the best of my knowledge. It is further agreed, the Maple Hill Rocky Point/Topsail Water and Sewer District reserves unto itself, the right to refuse or discontinue service and remove and District property from the premises if a violation of the District’s Rules and Regulations occurs. The District will not be held liable or responsible for damage of any kind whatsoever resulting from water or sewer use, or the use of water or sewer on the premises, unless such damage results directly from negligence on the part of the District. In the event of any loss or damage to the property of the District, or any accident or injury to persons or property is caused by or results from negligence or a wrongful act of the applicant, his/her agent(s), or employees, the cost of the necessary repair(s) or replacement(s), plus any cost of any part and materials along with a service fee on no less than $25.00, will be paid by the customer to the District; and any liability otherwise resulting, will be assumed by the applicant. Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement ** NOTE: Applications signed outside the Utility Office must be Notarized. ** Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement Notary Signature and Seal Date of expiration of Commission Hydrant Meter Deposit $ Inspection Fee $ Meter Only Fee $ Transfer Fee $ Sewer Tap Fee $ Water Tap Fee $ Parcel ID # Permit # OFFICE USE ONLY Inspection/Transfer/Deposit (Circle all that apply) Customer # Account ## Permit # Parcel ID # Water Tap Fee $ Sewer Tap Fee $ Transfer Fee $ Meter Only Fee $

Vacant Property. The owner of the property is responsible for all charges unless a tenant has been authorized by the property owner to be billed for service. Customer Agreement: By my signature below, I hereby request water and/or sewer service from the Maple Scots Hill Water and Sewer District. I understand that in order to receive sewer service, I must also accept and receive water service from MHWSDSHWSD. In requesting utility service, I accept full responsibility for all charges, fees, penalties, or other obligations incurred while in my name. This includes any leaks that may occur in my water line which begins at the customer’s side of the water meter. I agree to provide written notice to the District when the property is sold. I agree to guarantee proper protection for the District’s property at this service location and shall permit access to it only by authorized representatives of the District. I have been provided, read, and understand the information provided in the District’s Rules and Regulations and stated on this application/agreement. I warrant that the information provided for the purpose of obtaining utility service to be true and accurate to the best of my knowledge. It is further agreed, the Maple Scotts Hill Water and Sewer District reserves unto itself, the right to refuse or discontinue service and remove and District property from the premises if a violation of the District’s Rules and Regulations occurs. The District will not be held liable or responsible for damage of any kind whatsoever resulting from water or sewer use, or the use of water or sewer on the premises, unless such damage results directly from negligence on the part of the District. In the event of any loss or damage to the property of the District, or any accident or injury to persons or property is caused by or results from negligence or a wrongful act of the applicant, his/her agent(s), or employees, the cost of the necessary repair(s) or replacement(s), plus any cost of any part and materials along with a service fee on no less than $25.00, will be paid by the customer to the District; and any liability otherwise resulting, will be assumed by the applicant. ** NOTE: Applications signed outside the Utility Office must be Notarized. ** Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement Notary Signature and Seal Date of expiration of Commission Hydrant Meter Deposit $ Inspection Fee $ Meter Only Fee $ Transfer Fee $ Sewer Tap Fee $ Water Tap Fee $ Parcel ID # Permit # Inspection/Transfer/Deposit (Circle all that apply) Customer # Account #

Vacant Property. The owner of the property is responsible for all charges unless a tenant has been authorized by the property owner to be billed for service. Customer Agreement: By my signature below, I hereby request water and/or sewer service from the Maple Hill Xxxxx’x Creek Water and Sewer District. I understand that in order to receive sewer service, I must also accept and receive water service from MHWSDMCWSD. In requesting utility service, I accept full responsibility for all charges, fees, penalties, or other obligations incurred while in my name. This includes any leaks that may occur in my water line which begins at the customer’s side of the water meter. I agree to provide written notice to the District when the property is sold. I agree to guarantee proper protection for the District’s property at this service location and shall permit access to it only by authorized representatives of the District. I have been provided, read, and understand the information provided in the District’s Rules and Regulations and stated on this application/agreement. I warrant that the information provided for the purpose of obtaining utility service to be true and accurate to the best of my knowledge. It is further agreed, the Maple Hill Xxxxx’x Creek Water and Sewer District reserves unto itself, the right to refuse or discontinue service and remove and District property from the premises if a violation of the District’s Rules and Regulations occurs. The District will not be held liable or responsible for damage of any kind whatsoever resulting from water or sewer use, or the use of water or sewer on the premises, unless such damage results directly from negligence on the part of the District. In the event of any loss or damage to the property of the District, or any accident or injury to persons or property is caused by or results from negligence or a wrongful act of the applicant, his/her agent(s), or employees, the cost of the necessary repair(s) or replacement(s), plus any cost of any part and materials along with a service fee on no less than $25.00, will be paid by the customer to the District; and any liability otherwise resulting, will be assumed by the applicant. ** NOTE: Applications signed outside the Utility Office must be Notarized. ** Applicant’s Signature District Representative Print Applicant’s Name Date of Application/Agreement Notary Signature and Seal Date of expiration of Commission Hydrant Meter Deposit $ Inspection Fee $ Meter Only Fee $ Transfer Fee $ Sewer Tap Fee $ Water Tap Fee $ Parcel ID # Permit # Inspection/Transfer/Deposit (Circle all that apply) Customer # Account #