9825 18TH AVE W 2016-01-01 MF Import

MUKILTEO WATER DISTRICT SNOHOMISH COUNTY WASHING'iON APPLICATION FOR WATER ApplicalionNo. .3�� (,(jQ� /��3[i G,�� �� No. _ Meter Size � Num6er o( Units �_ qccount No. ..�0-/� ��-/�S- I hereby apply tor water service and agree to be governed in accordance wi(h the resolutions, rules and reaulations of ihe I�IUKILTEO INATER DISTRICT pPrtaining to waier service, now or hereafter in effect. The undersigned as owner or representative of ihe herein-desc�.bed p•emises he�eby agrees as iollows: (7) That the cost of any extension af the water service, renewal, replacement or repair ro reach a�d serve Ihe property described shall be beme by mysr.lf or assigns as owner (s) of the �remises. (2) Tha: ail pipes, waMr measurina devices and otherconnecting equipment upsheam from the metershall, alter theirinstallation, be and 62come the properry of the MUKILTcO VJAT'cR DISTRICT, subject to all its regulahons pertaining to watar service. (3) That afler installation, if ineteror me�er box and appurtenws are buricd ordama�ed, the owner, will bc held re;ponsible and charged �or same. (•7j Tiiat ine MUKILTc"O WATeR DISTRICT, its officers andae�ants, shall havo the right of ingress and e�ress ro go upnn the premises and property described herein for the purpose of inspection, connocting or disconnacting Ihe service or for such o�her purposes as the serviee may require. It is also undrrsmod during the time that any of ihe waler mains may be out of servico by reason of any emergency or impmvements authorized by the DISTRICT, in any strcet or other lawtion in which Ihey may have been laid, the DISTRICT will not be required to lumish water during ihe proc�ress of such improvements to nny r.onsumor whose supply may tnus be cut o(f, or be 1ia61e lor any damages lor its failure to do so. (5) That Ihe DISTRICT shall have Ihe �ight to.:hange the ratos at any time by Resolution, to temporarily discontinue the service to consumers, and to install ihe meter (s) to register the wr;er censumed. The DIP,TRICT shall not 6e held 1ia61e far damage by waler or other cause resu Itinn Irom do(ective plumbing a appiiances installed by the owner or occupant on ihe prem ises supplied witn water, and thn fact that agents of the D ISTRICT may have inspected the plurnbing and appliances shail not be pload as a hasis for recovep• in case of damage as aforesaid. If the supply of �ao tcr shall fail or bc iNerrupted hy mason of accident, low pressive orother causa whatsoever, the DISTRICT shall not bc heid liable for damages nor shall ;uch failure or interruption torany roa;onable time br, held to constitute a 6reach of conUact on the partof ine DISTRICT or in any way relieve ihe consumor, whether tenant or owner, fmm pedorming ihe o6li�ation of <uch tenanCs or owner's cantract 1"later shall be used by � app!icant only on the premises described herein. A new application shall be liled should water be desired (or other premises although loc�ted�' on iano c�-,oribcd hcrein. i,.. _ (G) That� the D�STRICT recommends instullation ol n pressure regulating valve. Applicant acknowledges Information as to the recommendation and assumes lull resportslbllity lor Inalallinp or Inlling lo Install a pressure regulating value on ihe v�ater system lo pro�ect it from high pressure. �'�i (7) The DISTRICT utilizes check valves ai Ihe me�er Io prevent waler reluming lo ihe Disiricts malns. The DISTqICT recommends . installationofathermalexpansionlanktopreventerceseivepressurebuild•upcousedbythewn�erhealer.Applicantsacknowledges information ns lo �hc recommendation and ussumes lull re^,ponslbilly for Installing or lalling to Install a thermal expansion �ank. i SE�VICE ADGRESS� �p � �� -C`7tL- �,(i �ui� CI1Y/STATcrZIF: OWtJER'S NAh1E OLVNER'SADDRESS��_%) _.y� /i//�{��!-7O CITY/STATE2IP: �,�.,��A . l/,YD,3l� The pmmises am to be �sed as a _ �'✓/i..r,�,/ �G '�/�- / LOT N0. (j �'� BLOCK PLAT NAME:(� A � -�!�`--C/ �'�� /�` - LcGAL DeSCRIPTION: .v> INFORMATION LETTER-GAVE/SENT: _ CHAqGES: p � � (1) Service installaiion & connection charge 5 //// J r (2) General Facilities cennection charge $�� 2• (% � (J) O(hcr ��`� y Total amount received with appli;ation 5_ �A� �' � IT IS UP;��q ;70Op th�t Ihis Appli:ation, although signed, shall not hc bindina upon the MUKILTEO WATcR DISTFICT until approved by the DISTRICT. I, the und�.cigned, owner (or represmtative) of the propeny described above, do hereby make appliwtion lor installation of a �/ diameurr water upoly service eonnecti , including appunenances, and ail necessary labor al my expenses. �-inch Dated ti �s � day o( �q �./ .. '�:�- —1- . - =�L— — . APPLIGANT;S SIGNATURE: ��_i�� L'�� Ap Ap AF Ml ay- PAID JAN 2 5 1991 UI(ILTEO VJkTER DISTRIG� 1 • � � G