8806 5TH AVE W 2016-01-01 MF Import

• : „-:r'^"�fi"St �7.-, . . . . . . : . .. .. . . .. .. " .�� ' ' MUKIL7E0 WATER DISTRICT SNOHOAIISH COUNTY WASNINGTON //J -�d3s� c�o _ �Pucnnow FOR w�� ,��«,No. � ss + ` �° �. Ggoa3v I Meter Size Number of UNts 1 Account No. �$ ��3� t I herebY aPP�Y lor water service and agree to be yovert�ed in accordar�ce with the resolutions.rules and regulatbns of the MUKILTEO WATER DISTRICT pertaining to wa!er senlce, now or hereafter in �ffect. The undersigned as wvner or i represeMatfve of the herein-descnbed premises hereby aprees as follows: (1) That tlre cost of arry exYntion W Ihe weter sarviee�renawal.iepl�o�ment or rp�ir b rwdi�nd wrw tlr prope�ty dncrbed ehaN ba bome by my�eH ar auipns u ownar(s) of Ihe qemi�es. (2) That aA pipes.walx mMwriq devias�nd WMr canne�WiO puiPe�M W�trwn iom H»m�M�tal�dw IMY MrtY�tlm.be and b�mir the properry o3 tM MUKILTEO WATER DISTRICT,subject b d ib rpi/�Yms pwe�Fdrq b wwr wvia. : (3) That after imh9�tlon.H m�rr a mMer box and�pputmas a�MriW a d�map�d,tlr aniw.wi b�IrN n�pombk rid ch�ryW for same. (�) Thu tlre MUKILTEO WATER DtSTAICT,ns oRkars rd apn�,dW Irr�IM ripM d ip�ess�nd pna b po upon tlr pr�rtdws and propory dssaibed Mrein ror tlr Wrpow of in�pkum,aonewc�np a d�oa�rrew0 tfM urvia a far wch oMr pvpases u Ms arMcw mey require. It is elw undxseoad duriny ihe tlmr Ih�t ny d M rn�Yr nrns m�y b�an d wrria by n�wn ol ry�p�n.y a inpownro�vs eutlarixed by tlw DISTRICT,in arry street a olhx bwllan in Miich My m�y IrN bwn I�d,Mw DI37AICT MI nol b�nquind b lumbh waror durirq Ihe propreu of auch impovemena b rry consunw whow�uppy mry Ihu�b�pR oR,a b�YW�br any drn�p�s for I4lailure b do w. (5) That the DISTAICT dW lu�IM ripM b chanp�M rwt�tany tim�by IiawYNon,b hnqorrly dl�oonYmw M rrvics W con�unxt.�nd I ro inaW ihs rtretar(�)to rpbbr tM waror oonsumM. TM DISTRICT�hal not b�IrW 1abN brdrmp�bywarraM�wwnus�rowltlrq hom dN�clhw P��7 a�PPr+��fnsblled by 1M owrwaoocup�nlon M premi�a wppNdwiww�br�andlMlut�Mtp�nbof Mr DISTRICT mq h�v�in�tl�plum6Gq�nd aPP6xnces drC not b�pla�d n a b�w lor n�ovwy in ew of d�m�p�u�breaid. R tl»wppy of water shel fail a ba(nbrtupMd byneson W ecddam�bw p�u�re ao�haraua wlrMo�vK�M OISTFi1CTahMnd bN�ld Y�W�fudempas nor shall such faUuro a irrtenupcon br emr ree�onab4r 6m�b�Mld b oonsBMa a bn�ch d aontr�d on�M prt of Ihs DISTRICTa in�rry wry � r�Ww tl�oonwmrr.wMtlwr bnant a arner.ham pniwmiq iM oblip�ean of wdi YrrM'�or awir'a oaMrt Wux dwN ba usud by ' appMant onlY on Mr p�m4as dwaibed herein. A new�pplicauan�FW W fled NaAd w�W 6e dnind far orw qaniws�qfauph IoWed on lud de�aibad Iwnin. ! wr Th�t tf� DISTRICT neomimnA� InWl�tlon of � Prwun npWNInD vdw. AOpMe�m �dmoNUdp�s Infornwtlo� �c W tl» � proMa t hom hiph pweun full nspon�ibWry tor ImW9np w hMnp a huWl�peMwn rpul�tlnp wlw on tM rr�W q�um b � wr (� Th�DISTAICT utlilus ch�ek valve at tlr m�4r W pnwnt watw �tuminp to tlr OlsUku mdna 7M DISTpICT r�oommsid� InuNVtlonof�tlwmWup�n�bnunkbprw�nt�tcNNwprrwr�bulW�upaw�dbqtlraMrb�Mn.Applwnb�dnwwl�dpN 1 � Inlarmatlon r r ncany�tb �nd�u IuM rMpon�IWiry fa In� a hMMp b NwtYl�th�rmY�mbn hnk. ! SERVICE ADDRESS: �v - LOl'NO. �OCK PUT NAIAE: CITY/STATFlLP: iLEGAL DESCRIPTION: OWNER5 NAME: ' • ��CY 71� �r�C. OWNERSADDRE� ' ( CITYSTATE2IP: � f ��7� � ^'31� The premisas aA b ba u�ed as a ' � INFORMI1T10N LETTER-0AVE/SENT: CHARGES: ��Ofi P�D (1)Servios insialleson 8 oonnedion charya t .. cz►c,�Fo;sa.�,,,,�,,,,�. : — MAY 0 5 1998 �3�an°` : ---�--�-q�'`' " MUKILTEO WATER DISTRICT � roW amant naiwd wiw�ppia�Yon : 1 (0.J0� I IT IS UNDEFtST00D dwt Ihis Appic�llon,rllhaph siprred,tlW nd W E4diq upan tlr MUpLTEO WATER DI�ICT unll�ppowd �!r dSTRICT. I,Me undarsiqned�(,a represe� 1 ��bow�po�by mNr appiobn br imdWbn d■ � �ineh • I.. diamemr wa�er s canx' �ard ap��I�farn ypa at my��rwt. � _. I � Dared this dry d 1 0 . APPLICANTS SIGNATURE: _ nvp�ra Nama�de.w Pr:�ry: �YL � �i t — �ts /��3�� II APdicanrs Add�aas and PAora Numbar. t��5'- l'` — �/- / �� -I[.-%�� .. ApPR�JVED: MUKIL R DISTRICT � er: � wr: � �