|
09-18-96 04:52PM FRQM MU'f,1iT'EO V'ATEP, DIST, T�i 25ygg��g Ppfi?i�p3
<br /> , MUKI6TE0 WATER DISTRICT
<br /> SNOHOMISH COUNTY WASHINGTON
<br /> APPLICATION FOR WATEFi
<br /> Application No. No.
<br /> Meter Size ��
<br /> Number ot Units �� Account No.
<br /> I hereby apply tor water servioe and agree to be governed in accordance with the resalutions, rules and regulations or �he
<br /> MUKILTEO WATER DISTRIGT pCRBilll�g t0 W81Bf SBNICB, now or 1lerealter In efleet. The untlersignetl as owner or
<br /> representative of the here(n•deacribed pramisas hereby agreas as follows:
<br /> (1� That Iho eost ef pny pxtonalon'el No waWr sorvieo,ronewal,roplacomant er pp�ir to roach and sonru Iho propery doscriDod xh+�V 60:,ome
<br /> hy mywn or nstigne ac owner(s) ol me prem(ses.
<br /> (2} That aN Oipaa,w�tw me�surinp daviaa�a�+d o�horeonracdnp puipm�nt upstrsam Irom tl+o moror:hall,akar u�eir ins�allauon,he and becomo
<br /> thY praporry ol tla MIJKILTEO WATER OISTRICT, cubjxt W all h�ropulaEon�panaininp To waror wrviw.
<br /> (3) That attor instaliutlon,if mororor mam�bo�andeppurooneae�ro 6uriad mdamagcd,tho owne�,will be hold rosponsible end ehergod lor aeme.
<br /> (4) That the MLIKILTEO WATER OISYH�C7,ita offica�s end iQY�ti,ihill hiw M�e riyht ol inpross and epreSs lo po upon Ihe premises and properry
<br /> dosaibod horoin ro�Wa purpoae of inspecGon,canrwatinp e�dicconnucGnp tlia servi�a fo�such othor purposea as the servico may requiry.
<br /> It i��be unrentead dudnp Ih�tirn�Mol nny of dia vnMr nWn�m�y M out01 prrie�ky rwaon af uny em�ryonq or impravamonts Aulhorimd
<br /> 6y tho DISTRICT,in any svoat or atlror bceYon in which thoy may haw 6aan Idd,d�e D13TRIC7 will not be requircd to lurnis�water durinp
<br /> Na{frogre:�of cucA ImprovYmonn b any eonaumor whooa�upply may thuc 6y wt eB,or ho IiabW lor any damagss Iw iu faliure W do ca.
<br /> (Sy That the DI3TRICT Mall haw Ihe rqht m ehanpa Iha nro�at any timo by Ratolutlen,m tanporarily diseandnua the aervica ro eeneumers,and
<br /> m inataU iha meur(n) to repiawr Ne walor aonaumed. 7M DIStR1C7�huA not ha hald liebb fcr damapa 6y weter or othircauso rosulting(rom
<br /> defecBve plumhinq u epplianae�InsWled by tha ownsrorxapanton tha premisee suppliedwith waror,andtho faa Ihat apents o!:he DISTRIC7
<br /> may havs Inapocmd the plumbinp end appliancea shall not be pbed es a basis Por recavery in casa of damspe ac aforasaid. if the supply ol
<br /> weWr�hdl lail orbx inlonupt�d 6y ma�an olrcddu�l,IOW Pry{{JfY MOIhYf LiUiY WIWIbOUW��Um OIS7AICT aF�dl nut Oa held liubm lar damac�es
<br /> na ahaA euch foilure or intorruptbn faany roesoneblr time he hold ro mna6tute a breach of oomracton�hs part of the OISTRICT or in any way
<br /> ropeve tlfe mnsumer,w�e�har tenant or ownar,hom peMorminp Mo ohlipatlon ol such renanfs or ownar's contract. Weter shall be�sea hy
<br /> apptieanl only on Iha promiwe daeaihad horoin. A naw epplieaGon slwq ha tilad rdwuld watar 6a dosirod fa olher oramisas althouph loca�ed
<br /> on IIMd doaUibod AGIY(n.
<br /> .�iN{'��Q,_(8) Th�t th� pISTRICT r�oomm�nd� in.�elleihn ef � pvn�un npWating vUve. Applla�n� acknewiedaas Infe�metlon as tc the
<br /> r�commend��ion and�atuma�tulireapon�lhlll�y IorlMUlllnp orl�lllnp to Inatall e prasaure repulatinp velue nn�he water system to
<br /> prebcl II from hlph prnsun.
<br /> �pr�(,Z(7) The W8Tfi1CT uNllses eh�ek valvp �t th�m�tsr to pnvent w�br rolurninp lo th�Di�tdcts m�in�. Th� MSTRICT rroomm�nds
<br /> InetUUtbnolrthwm��exp�n�lonUnktoptivenlexaeasiropra�urebuild•upau��dEytMwnxhaelsr. Appllunleaeknowledges
<br /> Inlerm�tlen r�lo Ih�neommandAlon�nd�quma�full rwpoed►Ilty br In�bllinp e�(dllnp le In�1a11� 1h�rmal��p�neloe baR.
<br /> sERVtcE ADCRESS: IO�IuT S',�G��_v_ �9.� LOT NO. ��� BLOCK ��
<br /> �LAT NAME: n- �
<br /> CITYBTATEIZIP: �J-!/G1I�. Lt�� 48aoS LEOALDESCRIP710N: f�.i''r0'F' Cf' �a '
<br /> _� ._
<br /> oWNEA'3 NAM�: t4Sh: Ow7 w✓ �nc.� � " �Gl,i r.�.ou.n"�
<br /> OWNER'SAC10FiE3S: �A.ZI � �sa� P.QAtC. S� _.
<br /> GITriSTA7E21p. ��h I�W o v e[�, (.0 A- ��03�7 ._
<br /> Tha premiseE Rn/W�h�a u�ad as a
<br /> C�P /�'� liG �.I INFOIIN4ITION LETTER•OAVE/9ENTr ,� "( �% _
<br /> CHARGES:
<br /> �Q�,yF(,� �/J/r 0 �)Senwa installaGon A oonnrciiwi dimpe / SDs�.�} r .07)
<br /> r �
<br /> S•cRy�tc Co•v�"••„+ (2�General Fadlitiec connectian d�arpe� '��0'p�
<br /> G yA4G! � (3)Oehor �6a2 P- 0 0 �/D �.:l.y O t E�er�tl 1QOi 7�r-p
<br /> 9/q�L � Toql�mount received wilh applicadon y �r.__¢7.�,s�
<br /> /••.-
<br /> IT I9 UND�R9TOop thei�his Appliw�iun,elthmgh aigned,Mall nol be 6inSng upm the•n'+"' """'NA7ER oISTRIC7 umil npproved by tho DI�TRiM
<br /> I,tho undorafpnad,owner(a roprasnnwdw)o(tlie propehy debcribed AWve,do herehy mab�appliation lor inslalkUon ol a � �inch
<br /> diamolor water�� p sorviee comoaion, incN,dirq ep0uran�neos,and dl neosssary labor at my axpantes.
<br /> Oa�ad mis 1 _dey ot SS .lY �(�,,,,_,_ .
<br /> APPLICANTS SIGNATURE: Y��_ �
<br /> Rpplieacl'e Namo(ploaca Pnnq. T0.1h: O ea rv nn _ .
<br /> Appi�ranfs Addross and Phono Number: �� � � �se�� /.Xa�c S� - -. �
<br /> APPROVED: _L—rM wd� � ��' 9�G��"� 5EP 171996'
<br /> M�:<�:.TEO�NA IS AICT
<br /> MUNILTFO WqT�R 01SiHICT
<br /> By. r . Di10: f
<br />
|