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<br /> `- hAUKILTEO WATER DISTRICT Q
<br /> '���' SNOHOMISH COUNTY WASHI�dGTON
<br />��', � �
<br />�� � APPLICATION FOR WATER `
<br /> d � `
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<br /> y ApplicationNo. .r/'( r �S No � U -�-- �
<br />�s;::.:�c�� /� r
<br /> s�� IdeterSize ��� NumberofUnits t-� AccountNo. �_ 5—��^��_"7>c� F
<br /> �`�� I hereby apply for water service and agree to be govemed in accordance wiih the resolutions, rules and regulations of the l
<br />.;�`;, PAUKILTEO NIATER DISTRICT pertaining to water service, now or hereafler in effect. The undersigned as owner or �
<br /> x'` i «�presentative of th� herein-described premises hereby agrees as tollows: C
<br />�;,. .,s
<br />�� (1) That the cost af any extension ot the water servicc,renev+al, replacemr.nror repair to reach and;erve the properry described shall be 6cme
<br />�- - hy myself or assigns as owner(s) of the premises.
<br />#�;���`� (2) That all pipes,water measuring devicrs and othereonnecting equipment upsiream from the meter shall,atter Iheir installation,be and become
<br />� ihe pmperry ot Ihe MUKILTEO WATER DISTRICT,suhject to aIl its regulations pertainin•,to�.vater service.
<br />'.� �� (3) That alter installa�ian,if ineter or meter boz and appurtencos are buried or damaged,the n.vner,will be heid responsi6le;,:id chargetl for same.
<br /> � � (4) ThattheMlJY,ILIEOWATERDISTRICT,itsofliccrsandagen�s,shallhavethorightofing�essandegresstogouponthepremisesandpreperry
<br />�' descrihed hmein for ihe purpase of inspection,connocting or Aiscannecting the service ar tar such other purposes as the service may requim.
<br />:.;; . I[isalsounderstoodduring�hetimethatanyolthewatermainsmaybecutafservicabyreasonofanyemergencyorimprovementsauihorized
<br /> :�,,, � by ihe DISTRICT,in any street or other lacation in which they may have bern laid,the DISTP.ICT will not he required lo fumish water durir,g �
<br /> � �� tha progress of such impmvements to any consumer whose supply may ihus bo cu[olf,or be liable for any damages fer its failum m do ao.
<br /> k{ �i (5) Th�t iho DISTRICT shall havo the nght to change the rates at any time by Resolutioq to lemporanly discentinue tho service to censumers,ond
<br />�+�C::��: toinstallthemeter(s) tore�isterthevmterconsumed. ThnDISTRICTshailnotheheldliable(orc'-mageby•Naterorathercauseresutlingfrcm
<br />�""��" defectivaplum6in9arapplianeesinstalledbytheowneroroccupanlonUiepreruisessuppliedwithwater,andthefaathatagenlscitheDlSTnICT
<br /> r w; may have inspected the plum6ine�and appliances shall not be plead as a basis for recovery;n caso of damage as aforesaid. If ihe supply of
<br />��Y,, watersholllailarbcinterrupted6yreasonotaecident,lowpressurearctherwusewh�tsaeve�,theDISTRICTshailnatbeheld6ablefordamacs
<br /> - nor shall such lailure or interruption forany reasonable tfmq�,h�e'(�1d to constiwte a hreach of coniracton�he partaf the�ISTFICT or in�ny way
<br /> � ' relieve Ihe consumer,whether t�nan[or e.vner,from per(orming tho ohligaGon of such tenanCs or o,v,er's contract. Water shatl be used by
<br />�`x?� � applicanl only an�he premiscs desaibed hemin. A new apQlicalion shall be filed should water he desired for other premises although located
<br />� ,,'a on land deseribed herein. ��:. -
<br />� ;.� ;:r. '���" (fi) That ihe �ISTFICT recommends In:tallv.�ian ot a pre$sure regulating valve. Applicant acknowledges informatian as to Ihe
<br /> recommendat(on and assumes full responsi6ility lor'Insiallinc�ar lailing�o ins�all a pressure re�ulalinc�value on�he waler system to
<br />� ,,y ` protecl it trom high pressurc.
<br /> -� ar�,L����(7) The DISTRICT wilims check valves at Ihe meter to-prev,ent water returning to the Dlslricts mains. The DISTRIC7 recommends
<br /> '^��r�� .� instnllationafathermalexpanslon�anktopreven�eieasivepressurebuild-upcausedbythewa�erheatecApp�icantsacknovdedges
<br /> �. inlormulion us to Ihc recommendallon an,d assumes lull responsi6iily for Installing or failing lo(ns�la.�ll a Ihermal ezpansion tank.
<br />� "" SERVICEAODRESS: ��0� �f�`�`� � � - '" LOTNO. I -��i�-Ci����^5(��/ALOCK
<br />,� �; . � �� _.�-/ ^ // 2 ". -_PLAT NAME: ���i�-/ /!�
<br /> r, �;ITY/STATE/ZIP: '�f^���/, �L/'� . y u/��;JtiLEGAL DESCRIP'.ION: /r�G��-�✓�3-� ..Q��.. /
<br />� � ;:'1 R'SNAME:,��K�K �CL iN �'� "
<br />{ i. J��� ��—��
<br /> j � ;C�NER' ADDRES,/S�:,��Z��� �' L�� "'—`�_'-"
<br />� ,�' �i`(iSTATE/ZIP: ,f�`-� S,.G�.t�y.� -yva 9lJ�r'c� �37- </l33
<br /> g �j� -�!���premi�es are to be used as a �r� �' � �
<br /> �� - ��--- - ---- - �//�= �� �"' '� ' INFORMATION LETTER-GAVFJSENT: �9•
<br /> .r- — - . � �. .
<br /> , ,� —
<br /> � ��cH,�acts: pAID
<br />� �
<br /> .:�;rvico installalion 8 connection�cl�arc�e $ �SD. �
<br />` � � 1 ��.'eneral Facilities connedion eh5rge. S / ��/� � � 0 EC 0 8 1945
<br /> o`r �'= 1�thcr � S
<br />� ' �� • D h1UKILTEO WATER DISTRICT
<br />�;�� .;.il ;�mount received with applia�tian S
<br />�°.� -. , '����i1�:D�nSi COD Ui�t ihis Applicmion,al�hough sinned,shall not be bindinc�upon the MUKILTEO WqTER DISTFICTuntil approved 6y the DISTRICT.
<br /> F �
<br />�} �� Cic undcrsigned, owner(or repmsentative)of the property dosciioe{i abovE do herehy make appliwtion for instailation ol a _ ��� -inch ��'
<br /> - '�, ��mmer water su y�mvico connection,induding a�pp�nenances,and ail n�c�5sary lahor a!my expenses. �4
<br /> a. ,�_ : :cd Ihis�.daY�f ti �t'! vcl'-t_� � :13� .�J_ . °�S
<br /> ?�� „-PLICANT'S SIGNATURE:/� %� '� '
<br /> ',/ � / Ity,{
<br />` ,��,? ���.,�;;IicanCs Namo (plcasc prinp-cN���K ?°-�� L/,Y J FT�
<br /> ' � ��f..r.lic�nCs Address and Phane Numhec ��} �' Si1-^�e�fy' �[�_/y;� /�, 3 37'%% 3 3
<br /> APPROVED: �".�' S.S�i-.Jr"'-`, •;�„` �.( � f'X' ��
<br /> ��IUKILT / TER DISTRICT
<br /> (jY. �h�✓ __ J � a���
<br /> , _ D�Ic: � i r�
<br /> ,� > f���� 3' ..� � � ` `�.+,,, r�..y,y�Oj�Jad��'�ay' $s* y �: } .
<br />�}y �. ������������%3 '._ v'a�'+.� 4 - Oty�G.�y
<br />�/ �:.�. - ,i �-� }Sr.`� 'Y. tn' �{, .� x�ytTCS �'��
<br />� . ��F �4 4 Y\�� .d.v{Y�uJ"i'.�. �. � '
<br /> �,��J: 'F4s__l .� . ,V�."!��N!w�..uds���.�' � . +��.
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