HomeMy WebLinkAbout4840 915 West Yarmouth Rd Water Service Transfer Form 01-000528 YARMOUTH WATER DIVISION
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99 BUCK ISLAND ROAD
WEST YARMOUTH, MA 02673
PH.: 508.771.7921 / ' Q 2iJ/g
FAX: 508-771-7998
Service/Account No.: 01-000528 Date of Reading: 11/01/2019
TO THE TOWN OF YARMOUTH WATER DIVISION:
I hereby assume ownership of the property identified as;
House/ Unit # 915 STREET WEST
YARMOUTH ROAD
Formerly Owned By: JASON ENGARD
New Owner: I, THOMAS CONNOLLY & NILCEIA CONNOLLY agree to comply with all Federal,
and State and Local Laws, Rules and Regulations as they pertain to the use of the Public Water
Supply.
CHAPTER 225-18 OF THE TOWN OF YARMOUTH CODE/ WATER DIVISION RULES AND REGULATIONS STATES:
The property owner shall be responsible for the payment of all water bills. When a property which uses
municipal water is sold, it is the responsibility of the new property owner to complete a water service
transfer form. Failure to complete the water service transfer form will not relieve the new property owner
of the responsibility for payment of all current or outstanding water bills. Water service transfer forms are
available at the Water Department office and the Town Collector's office.
Date of Property Transfer: 11/15/2019
Signed by: `
(New caner)
Billing Address: 915 WEST YARMOUTH ROAD
YARMOUTH PORT, MA 02675
Phone Number: 02.,0 3 _ v y_ 3 4 S-
Daytime:
Email:
(P:)Forms folder—water service transfer
NOV 2 62019
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