2330 MELVIN AVE 2025-01-27 - Laserfiche WebLink

0 • Aut®ntblgn ID:760D14FE•BB14-4CA0•BE2D•1A238848CB83 • Form 17 SELLER DISCLOSURE STATEMENT ©Copyright 2012 Seller Disclosure Statement IMPROVED PROPERTY Northwest Multiple Listing Service Rev.06/12 ALL RIGHTS RESERVED Page 2 of 5 (Continued) • YES NO DON'T 58 2. WATER KNOW 5" A. Household Water 60 (1) The source of water for the property is:0 Private or publicly owned water system 61 0 Private well serving only the subject property*0 Other water system 62 *If shared,are there any written agreements? ❑ 0 0 63 *(2) Is there an easement(recorded or unrecorded)for access to and/or maintenance 64 of the water source? ❑ We'''. 0 65 *(3) Are there any problems or repairs needed? ❑ el..** 0 66 (4) During your ownership,has the source provided an adequate year-round supply 67 of potable water? ar. 0 ❑ 68 If no,please explain: b9 *(5) Are there any water treatment systems for the property? 0 ! 0 70 If yes,are they:D Leased ❑Owned 71 *(6) Are there any water rights for the property associated with its domestic water supply, 72 such as a water right permit,certificate,or claim? 0 0 73 (a)If yes,has the water right permit,certificate,or claim been assigned,transferred, 74 or changed? 0 t ❑ 75 *(b)If yes,has all or any portion of the water right not been used for five or more 76 successive years? ❑ V 0 77 *(7) Are there any defects in the operation of the water system(e.g.pipes,tank,pump,etc.)? ❑ ti2--"' 0 78 B. Irrigation Water 79 (1) Are there any irrigation water rights for the property,such as a water right permit, 80 certificate,or claim? 0 V 0 81 • *(a)If yes,has all or any portion of the water right not been used for five or more / 82 successive years? 0 e ❑ 83 *(b)If so,is the certificate available?(If yes,please attach a copy.) ❑ 19r 0 84 *(c)If so,has the water right permit,certificate,or claim been assigned, 85 transferred,or changed? 0 L't1''''''' 0 86 *(2) Does the property receive irrigation water from a ditch company,irrigation district,or other entity? D Te. 0 87 If so,please identify the entity that supplies water to the property: 88 89 C. Outdoor Sprinkler System 90 (1) Is there an outdoor sprinkler system for the property? 0 ar 0 91 *(2) If yes,are there any defects in the system? 0 t V ❑ 92 *(3) If yes,is the sprinkler system connected to irrigation water? 0 ii1'' 0 93 3. SEWER/ON.SITE SEWAGE SYSTEM 94 A. Thejroperty is served by: 95 re' Public sewer system 0 On-site sewage system(including pipes,tanks,drainfields,and all other component parts) 96 ❑ Other disposal system 97 Please describe: 98 B. If public sewer system service is available to the property,is the house 99 connected to the sewer main? 21/ 0 D 100 If no,please explain: 101 *C. Is the property subject to any sewage system fees or charges in addition to those covered 102 in your regularly billed sewer or on-site sewage system maintenance service? 0 e ❑ 103 D. If the property is connected to anon-site sewage system: 15 104 *(1) Was a permit issued for its construction,and was it approved by the local health �. ' t/ 105 department or district following its construction? S''' 4T 0 106 (2) When was it last pumped? 6� 107 '(3) Are there any defects in the operation of the on-site sewage system? 0 O O 108 (4) When was it last inspected? 0 109 By whom: 110 . (5) For how many bedrooms was the on-site sewage system approved? bedrooms ❑ 111 fil SELLER'S INITIALS Date SELLER'S INITIALS Date