Laserfiche WebLink
� .� i .. _. "1• �. ._ .•. ..• ' � . <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY WASHINGTON <br />APPLICATION FOR WATER <br />�� �as <br />�Appiication No. <br />Meter Size ?�// Number of lJnits <br />� <br />. .t'� . -1 . �. �• . w.�� <br />.��:.� <br />O <br />Vi <br />� � <br />-. _ 9�y//�,% <br />No. <br />Account No. �d' ���2��� <br />I hereby apply for water service and agree to be governed in accordance with ihe resolutions, rules and regulations ot the ' <br />MUKILTEO VJATER DISTRICT pertaining to water service, now or hereatter in e(iect. The undersigned as owner or <br />r?presentative oi the herein-described premises hereby agrees as lollow�: <br />(1) That Ihe cost of any extension ot 1he water service, renewal, replacemenl or repair to reach and serve the properry descrbed shall ba borne <br />by myself or assic�ns as owner (s) of the premises. <br />(2) That all pipes, water measuring dovices and o�harconnocting equ�pment upstream irom ihe meter shall, ahar thoir installation, be and become <br />the proporry ot the MUKILTEO WATER DISTRICT, subject to all its regulations portaining to water service. <br />(3� Th,at alter installation, il moter or meter box and apputtonros are huried or damagod, tho owner, will ba held responsible and charged lor same. <br />(4) That the MUKILTEO WATER DISTRICT, its oftiwrs and egents, shall havo the right of ingross end egross to go upon tho promises and propeny <br />described herein lor thu purposv ol inspection, connocting or diseonnocting Iho servico or for such other purposes as the service may require. <br />II �; also undersmod during the time that any nt the waler meins may bo out ol service by reason of any emergency or improvements authorized <br />by the DISTRICT, in any street or other location in which they may havo been laid, tho DISTRICT will not be required te furnis!� water during <br />tho progress ot such improvomonls to any consumor whose suppiy may thus be cul otf, or be 1ia610 lor any aamages for its tailure to do so. <br />(5) That iho DISTRICT shall havo ihe rigM to cha��o tho�C��tos at any time by RosoWtion, ro temporarily discontinuo the service to consumers, and <br />ro inst:.11 Iho meter (s) to registor the wator consumad. 7Te DISTRICT shall not bu hold liable for damage by water or other causo resulting Irom <br />defectivoplumbingornppliancesinstalledby,thoownerorocwpantonthepremisossuppliedwithwater,andthefaclthatagentsoflheDISTRICT �' <br />may have inspected the plumbin� and ippliances shall not be pbad as a basis for rocovery in case ot damage as atoresaid. If the supply ol <br />water shall fail or be intortupted by reason ol accidenl, low prossurn or othor cause whalsoewr, the DISTRICT shall nol be held liable lor damages <br />nor shall such hiWre or in�erruption for any roasonablo tiino bs hj�1d to constiNle a breach ot mntract on the part ol tho DISTRICT ar in any way <br />rolieve tho consumor, whethor tenant or owner, irom perfarming Iha o6ligation ol such tonant's or owner's contract. Wator shall bo used by <br />applicant only on the premises describod horein. A now appliwtion shall be filed should waler be dosired �or othar premises allhough located <br />�n land descrited hercin. � `_: <br />ihT _j�(6) That the DISTRICT recommends Installatlon ot e prassure reguleting vnlve. Applicant acknowledgos informetlon as to the <br />� recommendellon and essumes full rosponslbllity fovinq�aU�ng or Ialling to Instatl e pressure regulating value on the water system io <br />QC � protecl It irom high pressura /, �" <br />INT r_ (7) The DISTRICT util(zes cheek velves at Ihe meter to„provent water returning lo the Distrlcts mains. The DISTRICT recommends <br />Inslelle Ilon of a Ihermal expnnsion tank to preveni etqesa{ve pressure bulld•u p cnused by Ihe weler heater. Appilcents acknowledges <br />�� Informolion as to the rocommendalion and assumes full rospons1611ty lor installing or lalifng lo Inslall e thermel erpenslon lank. <br />� SERVICE ADDRESS: Il��� a�..✓�-�YZ.� ,[�� LOT NO. � U BLOCK <br />(/ ,/ �� � <br />PIAT NANE: �����/'i %.Zr. --� � <br />CITY/STATE/ZIP: ✓7`'�!` '�"�'A qy %�U7 �EGAL DESCRIPTION� __ ✓`� � % <br />/�' ., i <br />OWNER'S NAME% ��✓� r� -ti�� �/1`� <br />OWNER'S ADDRESS: q��'��� '=�-��%�%� • ✓ � �-'' ��� 9 <br />CI7Y/STATE/ZIP: �/�/�1%��'�.� 6i.fi� ,f'G/?i� . <br />� <br />Thc premises aro to bc used a5a <br />.� : �—�"�� A "`� INFORMATION LETfER-GAVE/SENT: ✓ �S� <br />CHARGES: `) <br />(1) Service installaiion S connection cliarc�e 5 /`�v' �v <br />(2) Geneml Facilities connection charpe S /v� U. � <br />` rv` <br />(3) Othor �?�� � 5 <br />TotalamounLreceivedwithappliwtion,,. 5 �/ � � �✓ <br />� •� <br />IT IS UND'eRSTOOD thot Ihis Application, althoughsigned, shall ndLbe binding upon the MUKILTEO WATER DISTRICTunlil approved by the DISTFICT. <br />I, ihe undersigned, owner (or represeNative) ol the propeny describad above, do heroby make appliwtion IoF installation al a�-inch�. <br />diameter walor sup y service connectio� including appune nces, and all necessary labor et my expenses. <br />Daled this � day ol bc%�y�� ,19�.� . <br />—`i.+,�v r TT— <br />APPLICANT'S <br />� ' � <br />AUG 0 41993 <br />MUKILTEO WATER DISTRICT <br />