MUNICIPAL WATER AUTHORITY OF ADAMSTOWNSHIP

690 VALENCIA ROAD, P. O. BOX 807

MARS, PA 16046

PHONE: (724) 625-3166 FAX: (724) 625-3134

RESIDENTIAL WATER TAP APPLICATION

DATE OF APPLICATION: ______

All agreements must be completed, signed and tap fee paid before work commences.

I hereby make application for water tap and a curb stop, to be installed at the following location and agree to all requirements. Usage must commence within one year of application date. Minimum monthly service charge will commence once tap fee has been paid.

PROPERTY OWNER: ______PHONE NO. ______

LOT NO. ______STREET NO. ______STREET NAME ______

PLAN NAME: ______

Please be specific in the information you provide and any data that you can provide to the Authority regarding the anticipated water consumption for your use will assist the Authority in accurately assessing the tap fee. If available, please attach a drawing or site plan showing the buildings to be constructed.

Single family residence__ Single family – Townhouse/Condominium__ Multi-family residential – Number of units __

Billing Information Required:

Name for billing (during construction): ______Phone No.: ______

Address for billing: ______

No. Street City StateZip

Billing Authorization Signature: ______
Plumber &/or Service Line Installer Information Required:

Plumber Name (Company or Individual): ______

Address of Plumber: ______Phone No.: ______

Street

______

CityStateZip

Service Line Installer (if different than plumber): ______

Address of Installer: ______Phone No.: ______

Street

______

CityStateZip

Builder Name (Company or Individual): ______

Address of Builder: ______Phone No.: ______

Street

______

CityStateZip
Signature of Builder : ______
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For Office Use Only:
Received: Water Tap Amt. : $ ______Date Paid: ___/___/___ Check No.: ______By :_____
Turn On Amt.: $______Date Paid: ___/___/___ Check No.: ______By: _____
Meter/Pit Amt.: $ ______Date Paid: ___/___/___ Check No.:______By: _____
Other: ______$ ______Date Paid: ___/___/___ Check No.: ______By: _____

Account No.: ______11/6/2012

WATER AUTHORITY OF ADAMSTOWNSHIP

SPECIFICATIONS FOR SERVICE LINE INSTALLATION

RESIDENTIAL:1.Use ¾” K copper line from house to curb

  1. All connections to be compression/gripper gaskets
  1. Line to be buried at least four (4) feet deep.
  1. No line to be covered until inspected and approved by Authority representative. Scheduling must be done 24 hours in advance.
  1. No trash to be put in ditch with line.
  1. Backfill to be sand 1’ above pipe.
  1. ¾” stop and water valve on end of water line, in basement.
  1. Meter connections to be 13” apart. (Authority to furnish meter stubs.)
  1. Meter connections to be located from two (2) to four (4) feet from floor in a place of easy access, and where it will not freeze.
  1. Water to be turned on at curb stop by representative of the Authority only. All water must be metered with radio ID unit. This must be completed before water is turned on.

COMMERCIAL:and taps larger than ¾”, please contact the Authority for requirements, specifications, size and materials.