1907 HOLLOW DALE PL 2018-01-02 MF Import

Application No. Meter Size _ O MUKILTEO WATER DISTRICT SNOHOMISH COUNTY WASHINGTON Cf APPLICATION FOR WATER N 11 D• U Number of Units 0� Account No. I hereby apply for water service and agree to be governed in accordance with the resolutions, rules and regulations of the C MUKILTEO WAFER DISTRICT pertaining to water service, now or hereafter in effect. The undersigned as owner or follows: Z representative of the herein -described premises hereby agrees as (1) That the cost of any extension of the water service, renewal, replacement or repair to reach and serve the property described shall be beno by myself or assigns as owner (s) of the premises. ry (2) That all pipes, water measuring devices and other connecting equipment upstream from the meter shall, after their installation, be and become the property of the MUKILTEO WATER DISTRICT, subject to all its regulations pertaining to water service. J (3) That after installation, i! meter or motor box and appurtencos are buried or damaged, the owner, will be held responsible and charged for same. (4) That the MUKI! TEO WATER DISTRICT, its officers and agents, shall have the right of ingress and egress to go upon the premises and property described heroin for the purpose of inspection, connecting or disconnecting the service or for such other purposes as the service may require. It is also understood during the time that any of the 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 which they may have been leid, the DISTRICT will not be required to furnish water during / the progress of such improvements to any consumer whose supply may thus be cut off, or be fable for any damages for its failure to do so. (5) That the DISTRICT shall have the right to change the rates at any time by Resolution, to temporntily discontinue the service to consumers, and to install the motor (s) to register the watorconsumed. The DISTRICT shall not be hold liable fsrciamage by water orothor cause resulting from detective plumbing or applianos installed by the owner or occupant on tf,e premises supplied with water, and the fact that agents of the DISTRICT may have inspected the plumbing and appliances shall not be plead as a basis for recovery in case c! damagu as aforesaid. If thu supply of - water shall fail orbe interrupted by reason of accident, low pressure orothercause whatsoever, the DISTRICTshall not behold liable fordamages nor shall such failure or interruption fir any reasonable time be held to constitute a breach of contract on the part of the DISTRICT or in any way relieve the consumer, whether tenant or owner, from performing the obligation of such tenant's or owner's contract. Water shall be used by applicant only on the promises described heroin. A new application shall be filed should water be desired for other promises although located on land described herein. iNT ) That the DISTRICT recommends Installation of a pressure regulating valve. Applicant acknowledges Information as to the recommendation and assumes full responsibility 'or Installing or falling to Install a pressure regulating value on the water system to protect It from high. pressure. ( 1�(7) ibt The DISTRICT utilizes check valves at the meter to prevent water returning to the Districts mains. The DISTRICT recommends "`i installation of a thermal expansion tank to prevent excessive pressure build-up caused by the water healer. Applicants acknowledges Information as to )IUrecoin endatio a assumes responsiblity for Install" or falling to Install a thermal expansion tank. 1; / // r l�V I L/vl_ SE:7VICE ADDRESS: LOT NO. BLOCK PLAT NAME: rZ CITY/STATE/ZIP: %.�v�+n -t_ A- I n lJ✓✓� ' "✓"' LEGAL DE RIP IO_N(:, OWNER'S NAME: T\/4cP IYy.I { CCU nWNER'S ADDRESS: - J CITYSTATE/ZIP: The promises are to be used as a U INFORMATION LETTER-GAVE/SENT: -' CHARGES: 1_-)//vv ) FMD ! J,W (1) Service installation &connection charge 5 a (2) General Facilities connection charge s OCT 0 9 1998 (3) Other $ lotal amount received with application s f MUKILTEA WATER Dlarr.... IT IS UNDERSTOOD that this Application, although signed, shall not be binding upon the MUKILTEO WATER DISTRICT until approved by 7W DISTRICT., I, the undarsigno ey (er (or represonta)iT ofAhho' property described above,f�Q,baroby make application for installation of a 1I -inch diameter watai s y.servico connectidn, IndrcR4ntt apb(y7enances, and all nba6a6ary labor at my expenses. Dated this day of v,->' ,19 / APPLICANT'S SIGNATURE: ^`�'�• f "' Applicant's Name (please print): C Applicant's Address and Phone Number: ,C i APPROVED- MUKILT`z'7v TER DISTRICT By. - Date: