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l.� I . . . . ' <br />_.. �.. .., ..y <br />,. <br />�pli�tion No. � "t � <br />�ter � �� <br />Size _ <br />; MUKILTEO WATER DISTRICT <br />SNOHdMiSH COUNTY WASHINGTON <br />� <br />� <br />APPLICATION FOR WA,TER <br />� �`� � r,o. /o3y� � <br />Nc�mber of Units � � �� Account No. .�Q– �T17300 <br />—J KILT apply lor water service and agree to be govemed in accordance with the resolutions, rules and regulations oi the <br />EO WATER DiSTRICT pertaining to water service, now or hereafter in effect. The undersigned as owner or <br />� resentative of the herein-described premises hereby agrees as toliows: <br />� (� 1 That the cost of any �xtansion of the water sorvico, ranewnl, repiacement or repair ro maeh and serve the properry deseribed shall be bome <br />by mysalt or assigns as ownor (s) ol the premises. <br />(21 That all pipos, water moasuring dnvices and olher connecting equipment upstream hom the meter shall, aper their Insmllation, be and bemme <br />the proporry of tho MUKILTEO WATER DISTFiICT, subject ro all its regula6ons pertaininp to watet'Aervlce----�-- �r �� 7-� C`i. �� � <br />(3) That al�er installation, il mater or metor boz ana eppurtences era buriud or damaged, the owner, will 6e.haWreepon:ibkand eharped to{ jemr.^ <br />(4) That the MUKILTEO WATER DISTRICT, its olficerc and epents, shall have the ripht of ingress end egress to go upon tlie premises end properry- <br />dascribed horoin for the purposv of inspecGon, eonneclinp or diuonneefing the service or for such other purposes as the service may require. <br />It is a�so understood during Ihe time that eny ol the weter meins may be out of service by reason ef any emergency or improvements authorized <br />by the DISTRICT, in any stroet or other loea6on in which thcy may have been laid, the DISTRICT will not be required to Nmish water durinp <br />the propress ol sueh improvements ro any consumer whoae supply may thus be cut oH, a be liable for any damages'lor its failura to do so. <br />�5) That the DISTRICT shall have !ho right to chenge tha rates at any time by Resolution, to temporarily disconfinue the serviee to consumers, end <br />-� �to install the metor (s) to rogister Iho water consumed. The DISTRICT shall not be held liable lordamage bywaterorother cause reeul6ng hom <br />defectivo plumbing or appliancea installed 6y the ownar oroccupant on the promises supplied with water, and �ha fact thetagents of the D ISTRICT <br />mny have inapected the plum6ing and appliancos shall not be pleed,es a basis tar reeovery in wse of damage as eforesaid. If the supply ol <br />wntor sha�l fail or be intortuptod py reason ol acddent, low pressurd orAther cause whetsoever, the DISTRICT ahall not be hald liable for damages <br />nor shall such lailuro or intcrruption for any roasonable fime be he�d to mns6Nte a breach ot contract on U�e part of the DISTRICT or in eny way <br />reliove the mnsumer, whothor tonanl ar ownor, from pedorming the obligaUon of such tananPs or �wneYs eonnact. Water she�l be used by <br />applieant anty on the promises dascribed horein. A new applieaGon shall be filed shoukl water be desired for other premisae although located <br />on land dasaibod herein. <br />—�6) Thet the DISTRICT reeommmds Inatellallon of � pre�surs regultllnp valve. Applleant aeknowledpec InformNlon es lo ths <br />recommendallon and eesumes lull responslblllty lor Inetalling or fallinp to Inatall o prea�urs regulatlnp vdue on tha water �yal�m lo <br />prolect Ic from hlgh pressura. <br />— ��) The DISTRICT utlllzes chaek valvea al Ihe meter lo prevent water roturnlnp to ths Dlstrl�ls maln�. The DISTRIC7 recommends <br />Inatallellon ol a thermal ezpendon tenk lo provenl e�ceaslve pres�ura bulld-up uu��d by tha waNr heater, Appllcants acknowledpe� <br />Inlormallon e� to t/he repcamtpendellon and a�s�u/m ss full respon�lbllty for Imtallin or hlllnp to In�ul1 � thsrm�l exp�nslan unk. <br />E ADDRESS: �`l O) �'�G I �L% ;II/Q �� I L LOT NO. _—� —� ^-- -' . <br />--BLOGK ---. <br />� PLAT NAME: .I�E��l1 �� C7'.� I I� v�� �. �,.. <br />r_AT�I�: ��`L� LEGALDESCRIPTION: %"�:�u%1�` ;V �7(�U <br />��S NAME: �� 1� LF� C V • <br />� �S AODRESS: I'G3,� jSlf �� SC` <br />J,TElZIP: �:JU�N�.:. L i.i�'� �'I SOlZ <br />—��Sosaretobeusodasa r'�� �"^�� <br />INFORMATION LETTER-GAVE/SENT: <br />CHARGES: <br />(1) Servico installmion d mnnoction charga 5_� �3��'3 •� � � <br />(2) Gonoml Fadlilies connac6on charge 5 r�" ''� � GU <br />(3) Othor S "-� <br />_ � �� i <br />Tatal emount rocoivod with applica0on � �` �'+ •� U <br />RSTOOD ihat this Application, although signod, shall not be binding upon the MUKILTEO WATER DISTRICT until aoproved by tf�e DISTRICT. <br />'�_5� gnod, ownor (or rapresontafivo) of thv property deseribed above, do heroby meke applieation lor installation of e �,' <br />� tc3r sypply sorviao connecGo � fnduding appurtonances, and elly��sary labor at my expenses. I� <br />�-� day of c(. ( ;.I <br />� G <br />� <br />—��'S SIGNATURE: <br />� �� <br />�V ame (p�oaso prinq: '- �-' �= -"� ' �� � � � '� <br />���ddress and Phono Numbor. J � � �- • - �� ` ' = �\ JUL 1 3 �� <br />E�y'' 1':'�_�4..�i> `.,_. ��' `�`,.. �. 1— <br />.� WATER DISTRICT MUKILTEO WAiER DISTRICi <br />� � i <br />Date: 7��%TC.n / <br />�v1j <br />rj <br />o; <br />�1 <br />( <br />JI� <br />� <br />C <br />