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• ..1�: . -`i� _R��� f �il�'�'L]I���M�� l�Rff` <br /> ^V `� \�� �-��iT <br /> r,11 • �� <br /> . MUKIl7E0 WA7ER DISiRICT <br /> ' SNOHOMSH COUNTY WASHINGTON <br /> � APPLICATION FOR WA7ER � <br /> Applicatbn No. �� I� � �• ���� T� <br /> MeterSize NumberofUnNs � AcoourrtKo. ��90 O <br /> I hereby apply for water servke and agree to be govemed in aaorda.;�ce wNh the resoArtbns, rules and regulatans oi the � <br /> MUKILTFO WATER DISTRICT pertaining to water service, now or hereaRer in eHect. The understgned as owner or � <br /> represemative of the herefn-desc�ed premises hereby aflrees as foilovrs: C <br /> (7) That tha cost of arry exmnwn d Cw wabr serv`�ce�ra�aw�l�repl�anbrn w repeir b resd�ud serve the properry described ahaM bs bome f <br /> hy mysaH ar aaipns u ormer(a) of�he pwnias. <br /> (2) Thst ap pipes�wabr me�wring daviws and aMroonn�elYW�quipnMt Wq,�wn hom 1M m�M sIW�Mx 1MY IroW�tlon,b�aiW b000nw <br /> tlw property of IM MUKILTEO WATER DISTAICT,sub�eU b d Ns rapda0ion�P���Y b��• <br /> (3) ihat afrer iruuYtlon�if ine0er a m�lar box rrW eppirunn�an buMd a d�mpad,tla awrwr�wi W hNd r�apomiMa rW cherpad br ume. <br /> (4) Thet tlw MUIOLTEO WATER DISTRICT,ib olRan and�panb,shl Mv�Ma ripM d Fqr�u�rd p�as b po upon tlw p�embes end proprny <br /> desaibed Iwrain ior tlw purpow o(impectlon�uar�ctki0 a dkawe6n0 tlr�wria or br wch otl�qrpass u the aervioe may requira. <br /> It(�also undeismad durirro Me 6me that any d M w�br m�ina m�Y b�oul d wrvio�by n�sm ot nry ertisrysncy a improvements�tlwrized <br /> hy Ihe DISTRICT.in rry atreet a otlrr bcadan in whi�h tlry erY h�vs basn Idd iM DISTRICT wil rat be requYad b(umish wax durirq <br /> Ihe propreu of suoh improvemenb lo riy oonuMmr whow�upply rtrY tlws b�aR oif.a ba A�bia lor rry dertupe�lor ih IaBurs to do so. <br /> (5) That lhe DISTAIOT daY Mn tl+enyM�o chnpa M��Ms tl+nY Wn�M RaoMAbn�to temporuAy dhcontlnw the servke W cons�mers�and <br /> to tnstatl the meeer(s)ro repbter IM waMr ramurwd. 7M DISTRICT�hN notb�held i�bb brd�m+0e bY w�0arwotl�x nu�e rewl6rp trom <br /> dekeuw pkmbin0 a+PPM+�es insWledby dwowrwraooapuNon IMP��wPP�whhwaMr�rd�Mhottlut Ww+n ol tla DISTAICT <br /> msy Mve in�pocrod the plumdnp nd appGenosa rhW not b�pkd at a ba�b lor rxwery in ew ol damape u abresdd. If the wppy W <br /> waeerah�M fail arbe imartupbdby�eoon of aoddsiM�bwp�uureaoMrauwwtnhaavw.M DISTRICTahrl not W Mld Nebb fard�mepe� <br /> na ahaN sueh hilure a intenuqion Iaany re�aonaWa ums ba MW L�oomtlWq a biwdi d eawaU an tlw pvt of IM DISTRICTw in arry wry <br /> raNeve tlr aonwmer�wMtl�w bn�ntroFavner.hom pxMminO IM obfiWtlm ol ach MrnC�a owrwr�oontr�d. WaMr�h�ll hs wed by <br /> �,I�J ,ppNa�only oo ei.pr.mbe.a..d%vanaiae. �n.w,vqiwion.n.r bs e.a.nouw w.a.e.duirea ra oa,a prem�aes.rowiqn wcm«+ <br /> wr�L� an lend dew�ad he�ain. ` <br /> (�Th�t IM DIBTRICT noomm�nd� kMUlMtlon of � pm�un npW�tlnp vdw. MPMean� �duwwMdO�s Inbmwtlo� u b tlr <br /> ncomm�nd�tlon�nd uwmq IWI n�on�fbWty lar In�W IYp w hiqny w MaW I a pnawn r�Yul�Wq valw an M�rnqr�ysam b <br /> prot�M It hom hiph prNw�. \ <br /> wr (� Th�dSTHICT utWw ah�dc wlvM��W►mN�r to pnwnt ww wtuminp to M�s datrku mdns. Th�dSTNICT noomm�nds <br /> InWtl�tlon of�tlwrmN ap�ndon hnk b pr�wnl�aw��iw pnawnbulW�up a�w�d bp IMw�W Ir�nr.ApPuanu�du�owNdp�s <br /> InMrmNlon r to 1he ncomm�d�tlpn�nd�wwms lu�rMpondbNry lor ImWI'q a hM�p b ImW�tlNrmd ap�nabn w�k. <br /> SERVICE ADDRESS: ��� �1µ tiV'C W <br /> LOTHO. �D BLOCK _�_ <br /> PLAT NAME: <br /> CITYfSTATE2IP: � I� ' LE(iAL DESCP�amN• .0 P��L Y1 ��.+ <br /> � <br /> O!NNER5 NAME: <br /> QWNERSADDRES3: p ��� f� ' � <br /> / � <br /> CITY/STATE2IP: <br /> rna PremiH4 a.a n.�..a..e '1 1 ' � L ' . <br /> , � . <br /> � INFORAMTION LETfER-Gl1VElSENT: <br /> _ CHAROES: „ ��D <br /> r�s��.��.�8��,d+w. s I�D�CU JUN 2 3 1999 <br /> (z)c,orw�.�F.aroe.oonre�ew,drry. : 151,,i .DU <br /> �s�oa� s MpqLTEO WATER DIJIIUI/� <br /> 7ofal amount received wid��ppia600 S f �' V <br /> IT IS UNDERSTOOD diet Ihis Appwutian,alMough�ipnsd.d�al rat be bindn0�Pa^the Ml1KILTEO WATER DISTRICT unE7 appo ths DISTRICT. <br /> n <br /> r �. <br /> I,the undereigned,owner(or represemauve of the propeny deseiibed ebove�do heieby make appfiraEon lor insWtatbn d a �_�h <br /> si <br /> diameter water E��fP�'s��o.hce com ' rd dl labor et my ezpen�es. � <br /> � �1 Daled Mis�deY . l 1 �'`':18 � <br /> � <br /> "` APPLICANTS SIGNATURE: <br /> ApplieanYs Name(please print): a� � �� <br /> � S S F_ $7/�Z <br /> ApplieanCs Ad6esa ard Phone Number: <br /> APPROVED: � � I <br /> MUKIL ATER DISTRICT <br /> gy. Dala: �' <br /> i ' <br />