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23112 WOODS CREEK RD LINE 3 2016-01-01 MF Import
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WOODS CREEK RD
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23112
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LINE 3
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23112 WOODS CREEK RD LINE 3 2016-01-01 MF Import
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Last modified
4/26/2017 11:34:43 AM
Creation date
3/9/2017 3:40:58 PM
Metadata
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Template:
Address Document
Street Name
WOODS CREEK RD
Street Number
23112
Tenant Name
LINE 3
Imported From Microfiche
Yes
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REC�TSIREP:[ENTS FOR P_PPLICAT[ONS FOR �VATER SERVICE <br />AD79CENT �O CITY OF EVEP.ETT' '£RAA'SMSS[ON LI�iES <br />Since applications for watEr service have beea increasing in the areafroating or <br />aear o�� traas�sion mains, the City fecLs respunsibi.lity' for establistsi.s a sat. <br />of requiremetxts to protect its custom.exs and maintaia levels of servfce_ To <br />facilitate the Count'3' or State. the City of EeuetC would �like to establish a set oi ��. <br />requirements to gnid� ye+s initi� respon:se ta those requssting water servfce. ... <br />The C:ity of r.vcrett wiil prov'.de a sarvice ta� a� its right si£ t�'ay boadat� to aa .`.' • <br />applicaat it: � . <br />� 1. The surrouadia8 water districts wi.l.x nat grovidc serviae for the � . <br />appliaant. arnd a writtea statemcut fxozn the assoc9.ateol distriets . .' <br />to tnat effect has beea obtaiaed. , <br />2. The applicant agrees to parricipzke in futuee wate^ districts whaa <br />established and to relinq,uish the indi�vidual. service at that time� <br />3. The aoplicant has Coimty or State apgroved plans fo.r vrater seraice <br />and fire pratection, i.£ applicable. <br />4. Access to the propertq is provide� and approved by those partias <br />concerned, public or private, ���hen the applic2at dnes aot froat oZ <br />aur t'aresmission maia right of way. (If private property is crossed, <br />an easement must be recorded witb property description• If Pnblic <br />property must be crossed, then ��°'iYen permigsion froia tt�e agpro- <br />priate authoriiy' is required). <br />5 'The app7ican! aqrees Eo accept interruPtiiale sexvice aad provsdc <br />any necessat'y' storage. � <br />6_ The anglicant signs and <br />infozir,atioR to the City <br />cc: iierb Bcushey <br />f3ud Kz-om <br />Ciair Olivers <br />'Tom Thetford <br />ret�.arns this form and any .necessaiy <br />of i;vezatt �•7atez �enartrien�: . <br />P.p}�la.cant���-��` � — - <br />� � � <br />i•Iai:ex Dept. Sup� �-r <br />23 � ( Z uJ�� �� �C <br />�� ��y ' <br />(�-za-ai) <br />
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