11031 PAINE FIELD WAY 2016-01-01 MF Import

. . .-.,� . . . . , -- . .. , . w�c��o w�t�x o�n�cr sNor+o�sM oow+rr w�s�croN ��uc�noN Fa+w�� Application No. _� /�� No• �� }� t,�eter s�ze 3�W �� Number Of UnMs � �ccount t�w. Cb�O /')6 d360 I hereby apply 1or water 6ervicxx an0 prec to be yoverrNd in aocorOmo�w�Mh ths ro6oh�tiona.nde6 md ropuUtbns of the MU►cILTEO WATER OISTRICT pertakimp to water servioe, now or hero�fler in etfect. Trie urdersipned as owner or represeMat'rve ot the herein•descnbed premises hereby aproes ae foNowa: � (7) That the eoct ol erry eMencion d M wner�srvia.ronwN.npl�amsM a np�ir b rudi wd�erve Ihe popwy OewYbW�MA be 6orne ` by my�en a nsipm��amer(�) o/0is prsmiMs. � (2) That ali ppe�.v�nw ms�wrinp dwb�s mA otMr oonnKlinO�Wprn�M W�m Man M nrMr sMA.Mer Mir inq�won.M�nA MmnN � Ihe propsrly ot tAe MUKIL?EO WATER OISTRICT,tubj�a b�1 b npAMont pwYkikq b wMw rrwos. (3) Thn�Mr inslNl�fon.H marr a m�br 6oK rW�ppuMiws M bui�0 a O�nry�d.llr arnw,wM b�Mtl rltperrlbN w+A drr�0 ta wm�. J (�) Thrt�he MUKILtEO WATER DISTIVC?.A ol6ons�nE p�nk.krl lrw M NOM d irq�n�rd pnas lo yo upen he pwM�as wA prapwt� �p� decaibed herein tor he pxpow ol inp�ctian.mmwdi�p or 6eoaMro/rg M wnfor a la weA oww pupews n we�wrios nay raquire. `J It ic�ko urdercbod 4ninp f�e Yms riM ry d M w�M nrina nrr M aut d�wNo�Yr rNten W�wnwysnry a YrprovwMnh wRariteA w by�he DISTRICT,in rry sYe�t a aNw berlion�Mich Ihq mq� hv.s hwn Nid.ll»DISTRICI MiA no16��4iM�d�o MnYA wabr Mi�q � ths propeu ol suaA M�povenMnb b�ny eonsumM whOM nqyM nrY�wt M aA a1f,a b�F�bN b�wry MrAt la Ns hMns b Ao w. (5) That the GSTRICT tlrX hne M ripM�e chrq�M Mrt r�rry tiro br RnoM�ion.b Mnpaeih di�oorhrMw M wrMos b oaiwmerq rM � a insutl�hs rth�er(�)w ropMer M w�Mr aomw�W. iM DISTRICT d�M not b�MN hEM br drn�4r wa�wa MAw oww�wMirq from debe6ve P��O a�rwssimYlbd by M arnwaeoa+WMon IM pwniw�Mip�iW w�M�rnur��ndM I�otMtyennof Ow DIlTAICT may frN Inrpeaa0 tAe pWmbinp rd�PPli�non ah�A not 6e pkr0 r�bui�br nwNry M ew d hmp�p Nor�Wd. M tM wppN d vwter aM1 hil aM in�ertuqMby mson M�ooiAwe.bwpmwnaoMrpurwlrrwwr.M qSTiMCT M/I nal�MM FMM�brAMn� rar strN WA�I�iWra a inNmqlion IOr/�'EwOn�OM YIA'Y�MIA b OOro/IYY�MMcA al aorMr�q en M pMl N M dfTRICT a N�w� �IisN Rw oonwmw,wAANr unant M owmr:kan pMbinvy M abf�Yen d w�Ai IMwf�a awiw's oennal. W�r ddl N w�0 N �PP�'+��1'��P��K�P�Mrwn. A nw.�pMo�lion Nrl be WW N�aM w�Yar M AninA br oMr P�rniNs MIloiqh IooM�O on Wd AeutbO Awwn. '�; '• , ' r 7h�1 M OI�TIIICT n�it MM�MMen �f � �eM�N� IMM�MM wlw. A�IieMM �du�wM/w� YNM�rrM n M IM e.oa��n.nM��en.M..w�..wxe'y«wlYNtr h f!m1�«wUn�b MrN.�e..wr.rqw�wr..�M.w�1w.r.lw�a r proMN N holn hlpA'rw�M�. 7) T�e dfTRICT�NMtM ah�dc rNvw �t IM�Mw M�wM wM�►wMeMn�M M ONMkb�Yn�. 7M 01{TINCT ween�w�N ` M�UIMN011o1�MIMIMIMMMIM►YI�tM�f�rM11��OM��1'MMN�Y�M/�MINMYrMMIRAMMf.�MIIM�NM�M� Mlamtlbn r M M neoninwNWsn nr,�r�M Ir/rw�MMN�Nr NrY�My w MMn/M In�YM�M�M w�M�MMc. SERVICE ADDRES.R: � I UJ I f(f I/I E r �e I� G�y �No. - I � � � lLOCK • `W PU1T NAME: CITYSTATEJZIP: —�� E' �k 1 LE(iAL DE8CRIP110N: r OWNER'S NAME' ' �U � ��iTrUC'�iL��l G XT fT OWNEF5ADDRESS: ��-` UvX ^LOCiJ CITYISTATE/ZIP: t i�`�-�� I� ��J n '� �1.��' �i� Tho premiaea ere to be ussd d� i .� �)�i�l.� •� :;_b 11ti.�.�� ' �NFORMIITION LETTER-G11VE/SENT: � - V CHARGES: Q N� (t)Serv�ce in�tallatbn 8 wnneetion chxpe f /VeO-� 'W (2)Genaral Fedlities oonneotbn dwrps f �/ � t � �U (3)Olher 1 Total�mount re�eived wilh�ppliabn f /� '� IT IS UNDERSTOOD Ihat Ihis Applicaum,althouph upned,sh�A nd be bii6np upon Ihe MUKILTEO WATER DISTAICT�mMl�pproNE by lhe DISTRICT. ? I I,ihe undersipned,owner(or represenlatire)al ihe property de�e�ibW above.Oo hereby m�Me�pplit�bn br�nsWl�lbn d■ �qrch diame�er wate fu y service connecti n du6rq eppurlemron,eM�li �ary I�bor�t my�Rp�ntat. Dated Ihis �_ ot " -,. .19 �_ . "�^ / APPLICANT'S SIGNATUR ' ` ��'� AppliwnYa Name(dea�T. W PA*� PpplicaM's Address and Phone Number: ?�� r�`�� i"�� • �`�" -+�7��3 ui APPROVED: r��`�`"�'1' '�A 1�_��-�''S APR ? 41996 MUKILT TER DISTRICT / gy./ /S a�: ?�1 liL Mu�uum w�t� astwct