Application for Water and/or Sewage Service

Tenants — 5/8″ metered service

The undersigned applicant, tenant of the premises listed below in Beaver County, Pennsylvania, requests to be supplied with water and/or sewage services by the Municipal Authority of the Borough of Midland (the “Authority”). The applicant agrees to pay for such service within 15 days after receipt of billing for metered delivery at the regular scheduled rates and to comply with the Authority’s rules and regulations.

The applicant agrees to claim no damage on account of stoppage of the flow of water resulting from an accident, or when a stoppage is necessary to make alterations, repairs or improvements, and shall keep all plumbing fixtures in good repair.

The applicant agrees to pay for water and sewage services until written notice to discontinue service or written notice of the termination of the lease is given to the Authority. The minimum combined water and sewage rate for a 5/8-inch meter in the downtown service area is $57.06 per month for the first 2,500 gallons.

Security deposits are not accepted from tenants. Security deposits are the responsibility of the property owner. Tenants should verify with their landlord that an active security deposit is on the account.

Application for Service (Tenants)
Service Location
It is the responsibility of both the tenant and the property owner to contact the Authority office to terminate service or report a move-out at the end of a lease. Termination requests and move-out dates will be verified with the property owner.
Tenant Information
Billing Address (if different from service address)
Signature

Tenants are advised to contact their landlord to verify that a valid security deposit is on the account. Security deposits are not collected from tenants and are the responsibility of the property owner.