1623 HOLLOW DALE PL 2016-01-01 MF Import

„ -i w►. �.'�i' . � c , y�l .. ' , . � .. 4�� .... �.>�.;.^:�.,r•,.-.o,a;t' «a+Cr�.. . „��:q,�, �s.f.�.��.t1�Tfrr•F• i� .�l'��Y n':i... .cY. ' . V.: 'w ^�Application No. /�� Meter Size 3 � �� MUKILTEO WATER DISTRICT SNOHOMISH COUNTY WASHINGTON APPLICATION FOR WATER Number of Units .� No. 93—ir6.s� Account No. 1�U� /7%��D I hereby apply tor waler s�rvice aritf agree to be governed in accordance with the resolutions, rules and regulations of ihe MUKILTEO WATER DISTRICT pertaining to water service, now or herea(ter in etfect. The undersigned as owner or representative of the herein•described premises hereby agrees as lollows: .(i ) 7hat the cost ot any extension of the water service, reneN•al, replaxment or repair to reach and serve tho property described shall be borne by mysell or assigns as owncr (s) of the premises. (2) That all Fipes, water measuring devices and othor connecting equipment upstraam Irom the meter shall, after thoir installalion, bo and become the properry of the MUKILTEO WATER DISTRICT, suhjoct to all its regulations portaining to water srrvice. (3) That after installation, if ineteror meter boz and appunenrAs are buriod or damagad, the owner, will be held responsible and cnarged for same. (4) That the MUKI LTEO WATER DISTRICT, its ollicers end agonts, shall have tho ric�ht ol ingross and egross ta go upon the premisus and property described horein for the purposo ot inspection, connecling or disconnacting the sarvice or (or such other purposos as the service may require. It is also understood during the timo thal any ot tha water mains may be out of service by reason of any emergency or improvements authorized by the DISTRICT, in any street or other location in �:•hich they may haw been laid, the DISTR�CT will not be rnqu�red to turnish water during ihe progross of such improwmenls to any cansumer whose supply may thus he cut ofl, or he 1ia61e for any d��mages for its failure to do s�. (5) That tho DISTRIGT shall haw tho nghl to change the rates �t any time by Resolution, to temporarily disconFn•�e the sorvico ro consumers, and to install tho meter (s) to register tho water consumed. Tho DISTRICT shall not be held liable lor damage by water or other cause resulting Imm delectiveplumbingorappliancesinstallpdbytheowneraroccupantonthepremisessuppliedwilhwater,anr:thelaclthalagmtsoftheDISTRICT may have inspocted Ihe plum6ing andpppli�'nces shall not be plead as a basis lor rocovery in ease ol oamage as nforesaid. II the supply of wnier shall fail or be iNerrupted by reason ol accident, low pressuro or olher cause whatsoavor, the DISTRICT sha!I not be held 1ia61e lor damages nor shall such tailure or interruption fornny roasonable eTobdheld to constiWte a breach ol wntracl on the part ol the DISTqICT or in any way rolieve �he consumer, whethor Ienant or owner, from ptldorming iho obligation ol such tenant's or ownoPs coMract. Water shall be used 6y applicanl only on the promises descrihed herein. A new application shall 6e filed should walor bo dosirud for other promises although located iNt��/ on land described herein. i. �6) Thot Ihe DISTflICT recommends Installotion ol �•pressure reguletlng valve. Applicant acknowledges Iniormetion es lo the iNr �recommendetion and assumes full resppnslbility Ior,Ins�alling or feiling to Install e pressure regulating value on Ihe water sysiem to prolec! I� from high pressure. �� 7.- ) The DISTRICT utlllzes che�k vnlves at Ihe meler lo prevent wuler returning to ihe Distrlels mefns. The DISTRICT recommends �^. installallonola�hermalexponsiontonkloproventexceasivopressurebulld•upcausedbythewaterheater.-Appllcantsacknowledges t � Inlormallon as to Ihe reaommendulion end assumes �ull rosponslbllty for Installing or talling lo Inslall a thermal ezpanslon lank. � SERVICE AD�RESS /b,�� Z �Y��""-Y�� 1/LOT NO. _ �� B�LO�CK" �! PLAT NAME: �`�' �✓/+-�.•��y-c �- CITYlSTATE/ZIP: ��Ti� �iil-r� Li�' O� LEGAL DESCRIPTION: Y�� %��/ OWNER'S NAME: %�/�-!� 't_%ri�� /'t��(��- OWNER'S ADDRESS: CITY/STATE2IP: -/ � �� Tne pmmises are to be used as a ��"f' ��'�--�v�---- INFORMATION LElTER-GAVE/SEI:T: �/ H G_ / CHARGES: (t) Scrvicc installation 8 wnnection Charc�c S /�� L/U. �� (2) General Facilities connecpon ehargo $ ��/ r� �� ✓ (3) Othor % .i . _ 5 .TotaCamount received withapplication j ��G � . G'T� IT IS UNDcFSTOOD Ihat this Applicatioq, althouc�h signod, shallnotbc binding upon thc MUKILTEO WATER DISTRICT until approvod by the DISTR�CT. I, ihe undersigned, owner (or represenWtive) ol the pmperty doscnbod nbove, do hmeby make application lor installation of a �f �/ -inch d�ameter water su�pg1y servico connection including appurtenances, and aIl necessary labor at my exponsos.�� Datod this / day ol / �i • 19 � r��%_� �. APPLICANT'S SIGNATURE: � � Applicanfs Name (pleasc prinQ: � � � � �� L r /�1 �i ,1 n �r _ Applicanfs Address and Phone Number: '� �.Y. �'i/"-' '�.�r- APPROVE • � MUKIL AT R DISTRICT g��' - =� Data �/ � PAID AUG C 41993 MUKILTEO WATER DISiRICI G U �