The undersigned applies for water service and agrees to pay for water used according to the established rates of the York Water District as filed with the Maine PublicUtilities Commission, until notice to discontinue such service is given and agrees to conform to all rules and regulations whichare now in force or may hereafter be adopted and filed with Public Utilities Commission.

The meter is to remain the sole property of the Water District and I (we) agree to properly protect the meter from freezing or accidental damage and will not permit tampering with or removal of same except by a representative of the Water District. It is understood and agreed that any YWD representative shall have access to the meter at all reasonable times, and I (we) will be responsible for said meter while in the above property. I (we) will be responsible for costs incurred for the repair or replacement of meter(s) or other equipment damaged due to customer negligence or improper care. I (we) understand that accounts must be paid in full each billing period unless some other arrangements are made.

This application does not obligate the District to grant your request. You will be notified of acceptance or rejection of yourrequest after field verification of availability for service.