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MUKIL7E0 WA7ER DISFAlCT <br />SNOHOMISH COUNTY M�ASHINGTON <br />APPLICATION FOR WATER <br />Applicatbn No. � — <br />Meter Size Number o1 UnRs <br />I'� <br />l/1- �vv35�1� <br />N,. q803K1 <br />Aca�urtNo. �'s o��9/S!>d <br />I herehy apply for water sorvice and agree to be qovemed in axordanCe wph the resolul'ans, rules and regulatbns of the <br />MUKILTEO WATER DISTRICT peAainirg to water service; no++ or hereafter in eflect. The undersigned as owner or <br />represerrtative of the herein-descnbed premises hereby ayreea as follows: <br />� (1) That tlre cost Of arry e�0ention of Ihs w�br �xv`.:e, raiawal. roplw�nw�t a repair b nah and Mrw tM propery ds�aPoed dul be bome <br />by mysell a assqn� u ownar (e) of tl�e premian. hom IM m�Mr tlW. atrr �Mi InaW�Ym. b� �nd broonr <br />(2) TMt al PiPw, Mter meaw�tW dwlat ud otlisr eonnscWq pWP�k W� <br />�he poperrj M tAe MUqLTEO WATER DISTRICT� tubject b Y Ih rpul�tlam P�ru��q b waY► �via. <br />�(3) That Yler IroW�tlan. H melx a mMer bos �nd �ppirlenws N huNd adrn�Ob. Ur owiw� vrll b� held rMporr6k and eArp�d lor wna. <br />r41 ThtltlwMUKILTEOWAiERDISTAICT,itaolfian�nd�p�nts,slWlrwihe�i7kainp�K�+dW�bpoup°^�h°pwnb°��p�P°ry <br />oa.�.-ibed Aenin br d» qnpw� ot h�peeuan, oawN�tl�q or d�oaKreiq the ��rvlo� a far a+d� oYw p�rpo�e� o tM �ervio� m�Y requre• <br />Ir is dso uWe�sbod duriM M Wn� tha �nY d M wuw m�iu m�Y W aw d wrvia M nua^ ot enf' wn�Y a knpovements auMoriaed <br />by 1M DISTRICT. In anll s4eM a oMr bes0on in whkh My m�Y Ir� 6�wi 1r4 M DISTAICT vnl not b� re ��Mad b lumish �Oer durinp <br />Uia prtpsn of sunh improv�nMnb b rry oonsum�r wMM niPdY �Y tliw b� at oll. a!� f�bM br �nY 4mpe� lor Ns hiura b do eo. <br />(5) That Ihe DISTRICT tM1 havs IM �ipM b chrqs 1M Mn at rry t� h R�wWon� b bmpariy dtmMnw M rrvko lo oonwners, and <br />!o iiuW Cr merr p) ro reputx tlwwa�w comunad. Tla DISTRICT tlW not b� Mld 46Y fordnu@� DYwtlor aoMr u�r� rsaMnp han <br />debe6w PlundiW a+pPOrwes imWkdM IM ametaooaiprRonMp+mbw wPP6d�fiwaM..na�n. aam.uaw�notws o�cr <br />mry Mvs in�p�el�d tM plumWrp �nd apDG�neas ahM not W pbtl r a Wub lor �y N uw M d�np� o�bronin H Cr wpply d <br />wslenheY fail a be inEsm1pYd bY nwn olkdd�rh. bwpwu'� aotl�rcau�awMhosrer� M DlSlfilCTfMlI notb�Mid Fable fadunepe� <br />nor ahel sueh hflura a intertuPtlon faviy nasaubl� om� W Mld b oontl6N � bnah d oaitrat m dr p�rt ol tM DISlFIC � or in a�ry way <br />/-� rvtiow ttw conwma, whalhw bnnt or ownK. kom pwb�miq M obiptlfa^ ol weh YtirK� a artw'� oontw. 'NaMr duY 6� used 1ry <br />{ � �ppYant anly on IM premkas hwibW h�nin A mw �DPYratlOn shd bo fl�d YwuN wa0r b� dahd for oMr PAndws Ww�ph loated <br />� � on Wd dnaibod MKain. <br />�y.. ��` (� Th�t tM DISTRICT noomm�nd� In�bll�tlon of � pnuun npW�tlrp v�hn. MPM�+nt adv.owNdpN Ydoem�Non u b Uw <br />` ncomm�nd�tlon �nd awma lull rMpondblllty lor ImW Wq or hWnp to In� W I� prMwn rpuNtlnp vrw on tM w�br ry�um lo <br />�` � probct II hom Alph pnawa <br />(� Th� DISTAICT utlUus ducic wlvM �t IM m�tr to pnv�nt nww i+wmNq to 1M DI�uk4 m�M. Th� dBTRICT noomm�nd� <br />ImtdAdon of � tl�rmd �ap�mfon t�nk b pnv�nl �ieMJw pn�wr� 6uild�upauwd by IMvnMr I�Mr. App6aM� �alaiowNdP� <br />_ Mfonn�tlon �`r������ wp �P°^�bliry lor Imt Yq or �+INO b ImIW � thwmN ticp�mbn hnk. <br />SERVICEADORES3: L�� YI W"�'� <br />1 <br />._ . _ ._ � �,. n n.,,..1 auTwu�� <br />CITYISTATFJZIP: � <br />OWNER5 NAAAE: J1�f'f�1C <br />OWNER'S ADDRESS: G <br />�� <br />CITYSTATE2IP: <br />Tho premises are ro ba used as a <br />LE(iAL DESCRIPTION: <br />INFORMATIOY LETTER-GAVE/SENT: . -• <br />` � �CHARGES: �/\� <br />(7 ) Service inntalhtan 8 wnrection rharye S <br />lJ <br />(2) Genarai Fadlivas connection dw'p� S <br />. . �� <br />JUN S 6 1998� - <br />�3� � s MUKILTEO WATER DISTRICT <br />ronl amount ieceived with app&raCm s <br />IT IS UNDERSTOOD tlut thia Applicaum, dMouph dpned, sheA nol ba bindnp upon the MUKILTEO WATER DISTAICTunN DISTAICT. <br />I, the undarag q�jr}� (a rePrenenm' the dawi6ed ebovs by meke ePPicadon �or ini6lVeon M■ �nch <br />diamo�er wate 1f'� �.rvKe connacoon, i ancet �and dl � labor at my axpanw. <br />Dated Ihis �� f1 ��g l� <br />APPLICANTS SIGNA7URE: = <br />ApplicanCs Name (please prinq' <br />ApplicanYs Address and Phone <br />APPROVED• ��'�"- ./�J' �/7 J <br />MUKILT T R DISTRICT <br />ey: � Dare: � �� 7�(f <br />