8912 7TH AVE W 2016-01-01 MF Import

' §' ... MUKILTEO WATER DISTRICT SNOHOfl91SH C011NTY WASHINGTON APPLICATION FOR WATER Application No. � � ��; Meter Size �� _ Number of Units � (j/� ag3a No. _/ y � _ Account No. �aS�b ^// UD U I hereby apply for water service and agree to be governed in accordance with the resolutions, rules and regulalions ot ihe MUKILTEO WATER DISTRICT pertaining to water service, now or hereafter in etfect. The undersigned as owner or representative ot the herein-described premises hereby agrees as tollows: (7 ) That Che cost ot any eztension of ihe water sen•ice, renewal, repiacement ar repair to reach and serve ihe properry descnbed shall be bome by rt:yself or assigns as owner (s) of the premises. (2) That all pipes, water �neasuring devices and other connecGng uquipment upstream trom tha meter shall, after Iheir installa6on, be and becomo the proporry ot tho MUKILTEO WATER OISTRICT, subject ta all its regula0ons pertaining to water servico. (3) Thal after installa6on, il moter or meter box and appurtencos are buned or damagad, ihe owner, will be held reeponsihle and charged for same. j4) That �he MUKILTEO WATER DISTRICT, its olfiwrs and agents, shall have the righ[ of ingress and egress to go upon tho premises and omperty desuibed herein lor tha purpose of inspection, wnnecting or duonnecung the service or for such other purposos as the service may require. It is also understood during the time that any of the water mains may be aut of service by reason of any emergenq or improvert�ents authonzed hy the PISTRICT, in any streot or other loca6on in which Ihey may havo 6een laid, the DISTRICT will not be required to turnish water duiing the progress of such improvements lo any consumer whoso suppiy may thus ba cut ofl, or be liable for any damages fer its failure to do so. IS) That tne DISTRICT shall hava tl�e nght Io change tho rates al any timo by Resolution, to tampwarily disconGnue the sorvico to consumers, and lo inslall Iho meter (s) to register fiio water consumed. The DISTRICT shall not bo held liab�e for damage by watar or olher cause resulGng irom dnfecbvo plumbing or appiiances installed by the owner oroccupanton the premises suppliod with wator, and tho fact thatagents of the DISTRICT may have inspactod Iho plumbing and appliancos shall not be pload a^. a basis for rec�very in case of damage ac aforesaid. If ihe supply of wuter shall lail or be inlerrupted by roasoo ol acad�nt, lowpressuie oroNercause whatsoever, Ihe DISTPICT shall not be held Iiable tor damages nor sh�ll such (ailuro or intertuptionloia}fj� roasdnabie umabe ffeld to cons6Wte a breach af mntract on the part of ihe DISTRICT or in any way relieve �he consu�n�t,y:hether tona t ot owner, irom perlorming Ihe obligafion of such [enanYs or owner, conVact. Water shall be used 6y appGcant on�`bn�the pramisas des�bed herein. A new�pp�on shall be lilad should wator be desirod for olher premises although located on land desaibed herein. xir;r Thet �he �ISTP.ICT recamm2'"pCs lliialsllatlon ot e piga� e tegule�ing valve. Appllcent acknowledges In(ormatlon as ta ihe recemmendalion and assumes lull responsibllity lor inst' alll�g or falling to Inslall a preesute reguleling aalue on lhe water syslem to prolecl it Irom high preesute . �y j „� X;N (7) The DfSTRICT utllizes checl�val�es at the meler to preveDl weler reluminc� to ihe Dlside�s melns. Thi-DISTRICT recommends inslaliallon ot.a thermal axpenslon tank lo prevent exce�sive prsssure build-up caused by Ihe water haa;er. Appllcanta aeknowledgos Informatlon as �a tha recomme�tlpn�dassumea (ull responsl611ty (or Installing or Ialling to Inslell a;hmmal expanalon tank. SERVICE ACORESS: �—I I rX �� ' �� ' L� �' � LOT NO. 02'D 3�l BLOCK 7�` S�PLATNAPdE. CIT'//STATFJZIP: [ OWNER'S NA�dE: _ OWNER'S AODRESS: CITYISTATE/ZIP: l.EGAL DESCRIPTION: Thc premisos are ro be.i�sed as a 1 — _�� ✓�� p `�V �' �NFOR�+IATIONLETTER-GAVE/SENT: _�� CHARGES: (1) Service installauon & connection charge y � JO' Q� _ (2) General Facili6es connection charge 5 I I� '� . (3) O�her $ /, Tatal amount received with applic�6on $ �v �� IT IS UNDERSTOOD Ihat ihis Appliwfion, although signed, shall nat bo binding upon lhe MUKILTEO WATER DISTRICT unfil approwd b�• the DISTRIGT. // I, ihe undersigned, owner (or reprnsentZuv ) ol tho property descnbed above, do hereby make applica6on lo� installa6on of a -inch diameter water p ly� rvice conn (`n in cL pV enance�, and pM no s ry lahor at my expenses. Dated this _ Q v� � day�j�� ,� ,�� . APPLICANTS SIGNATURE: ApplicanPs Name (please prinq: —� Applicanl's Address and Phone Number: s/ / APPRUVED: , I,,�S �)� �� MUKILTEO R DISTRICT eY: � L i n-�1� �/3��'�v �� APR 2 5 1496 ou19 � MUK�I.iED WATER DISTRICT