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� ��_ `�;t,. --.. .. . , _. . . nr'.. . .n <br /> D <br /> MUKILT.EO WATER DISTRICT � <br /> SNOHOMISH COUNTY WASHINGTON <br /> AFjPLICATION FOR WATEP. - � �C <br /> O� -1 . 1 • 1 ! t./.�< ')•�J <br /> �Application ho. FIREI.ZNE o u Np, � ��0�� O <br /> 'leter Size 8° Number�of Units � L Account No. �U��7�y�'3J �1 <br /> ! 3reby apply�or water service and agree to be governed in accordance with the resolutions, rules and regulations of the � <br /> n� :" TEO 1NATER �ISTRICT pertaining to water service, now or hereafter in efiect. The undersigned as owner or � <br /> rep . '�tive ot the herein-described premises hereby agrees as follows: � <br /> , . �� tho�ost of any extension ot the water service,renewal, replacement or repair to reach and serve the properry described shall be borne <br /> � o�� ;�.e!t,:r assigns as owner(s) of the premises. (r; <br /> (2� That all pipes.water measuring dev�ces and other connectlng eQuipmen[upstream irom ihe meter shall,afler their installation,be and become � <br /> !he property of i:�e .7UKILTEO WATER DISTRICT,subject to all its regula6ons pertaining to wa[er service. fw <br /> (3) That after insWllation,if ine[er or meler box and appurtences are buried or damaged,the owner,will be held responsible and charged tor same. �1 <br /> (4) That the MUKILTEO WATER DISTRIGT,its oflice�e and agents,shall have he right of ingress and egress to go upon the premises and property <br /> desaibed herein lor tlie puryose of inspeceian,;;onnecting or disconnec6ng the service or for such other purposes as the service may require. <br /> ' I;is also understood durinq the ume that any ol the water mains may be out of service by reason ot any emergency or improvemer�ts authorized <br /> by Ne DISTRICT,in any street or other location in which they may have been laid,Me DISTRICT will not be required to turnish water during <br /> the progress ot such improvemen6 ro any con;umer whose supply may Mus be eut oH,or be liable tor any damages for its failure to do so. <br /> (5) 'ha[the DISTqICT shall ha�.e Ihe nght to change the rates at any time by Resolution,to temporarily discontinue the service[o consumers,and <br /> � Io insta��the meter(s) to register the water consumed. The D'STRICT shall not be held liable for damage by water or other cause resWting from <br /> defecGve plumbing or appliances insta!led by the owneror oc vpant on the premises supyliedwith water,and the fact that agents of the D ISTRICT <br /> . may have iqspectod the plumhinn and appliances shall not be plead as a basis for recovery in case of damage as aforesaid. If the supply of <br /> watershalltailorbeintertuptedbyreasonofacddent,lowpressureoroihercausewbatscever,theDISTFICTshalln tbeheldliablefordamages <br /> nor shall such failure or intermption for any�easona6le time be held to mnstiMe a breach of contract on ffie the DISTRICT o�in any way <br /> relieve the consumer,whether tenant or owner,irom pertorming ihe obligation of such tenanYs or owner's cL Water shall be used 6y <br /> appliwnt only on the premises described herein. A new application shall be filed should water be desired lor other premises although located <br /> on land tlesaibed herein. /ei; � <br /> i�;- �(6) T�at Ihe DIS7RICT recommends installation oF a prcYsuro regulafing velve. Applicant �cknowledges information as to the <br /> recommendation and assumei ty{I r0sponsibllity tor Installing or tailing to install a pressure regulating value on the waler spstem to <br /> protect it Irom high pressure. <br /> u r �(n The DISTRICT utilize4check valves al the meter lo prevent waler reWrning to Ihe Districts mains. The DISTRICT recommends <br /> , , instaltationofathermalezpansiontank�oprevenlexcessivepressurebuild-upcausedbylhewaterheater. Applicantsacknow�edges <br /> . �. inlormation es to the recommendelion and assumes(ull.responsibilty for Installing or!alling to install a ihermal expansion tank. <br /> � SERVICE ADDF^SS��r uRPORT ROAD LOT NO. 4 BLOCK _ <br /> BUILDING D �`� �S PLqT NAME: ��TA BUSINFSS PARK <br /> CI?l','STATElZIP: �P`E1'T� WA J8204 LEGAL DESCRIPTION: <br /> owNEa•s NAME: DELTA PROPERTIES DEI�ELOPER EXTENSION 11129 <br /> OWNEa'S ADDR�SS: 16715 NE 79TH STREET _ <br /> GTY/S7ATSZIP� REDMOT'D� WA 98052 N.E. FIRELINE FOR BLDG D ' <br /> The oremises are ro be used as a COlII�SERCIAL � <br /> — _ INFORMATION LETTER-GAVE/SENT: <br /> ��/// CHARGES: <br /> (1)Service installation Swnnection charge $ <br /> (2)General Facilities conne/ctiop charge $ <br /> (3)Other r�/j;�/ $ <br /> i <br /> . ' Total amount received��:'�th aodication $ <br /> / <br /> I'6 UN�ERSTOOD Ihat this Application,although signed,�I not be binding upon Ihe MUKILT�O WATEF DISTRICT until approved by the DISTRIGT. <br /> l <br /> I. the undersigned, owner(or rep�esentative)of Ihe property dasc�ibed above,dn hereby make appliwtior for installation of a 8 -inch <br /> d;ameter water supply service connection,including appunenances,and all necessary laber at my expenses. <br /> Dated this _� day ol 'i.� i� <br /> ,19 _ <br /> APP'JCANT'S SIGNATURE� . <br /> AOO���anCs Name (please print):, iZDLI°YL C oi.��n��� 1-r..��.nrPit _ _ <br /> App'JcaN's Address and Phone Number: 16715 NE 79TH STREET <br /> APPROVE • REDMOND, WA 98052 �, ;867-1960 <br /> MUKILT TE DISF/ TRICT I ~ � � �` � � <br /> 5y ��. �liv�.�� Date: �✓ <br /> `%� <br />