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M[�hILTF.O a'ATf.R DISTRICT <br />nPPLIC:ATI�N FOR H ATf.R <br />Mcrer.iiir�. �'1 Scrvice Address� �__: � J__ I;-��'_ �_i__i .�� <br />�'umbcr nf I !ni�s�. �-- /-- --- ' , ----- <br />Meter u�ill br used fnr (check all Ihet appl�•): __%� Domestic __ Irrigntion _ Pirc Servicc <br />.1 <br />Acct. No.: 9�_O_ � �D"vy <br />nSPe�n� I � V- <br />I hereM nppl} fnr wmer sen �ec und nFrce tn ba pnvemed, in ecrnrdnncr wrth Ihe ¢salutions, rules ond reguletinns af �he MUF:fISB(� N'qTl:H <br />f HSTkiC'I (MN'Ui penaimnE m wmer scrvicc, now m herudtrr in effec�. Thc unJersiEncd ns nwner ar ropresentnuve of lhe herein-described <br />prcmiscs harcM nFrecti ns fnllows. <br />( I � 7hc consunmr epmes Iu mstxll, areiete end moimmn et ell umee. lhnr plumhinr svslem m rnmphence wrth lhe currcm cAmnn nf Ihe t indurm Plumhmp <br />l.odc n� u pen�ms u� Ihe pmvenu�m uf cnmammeiinn. anJ pm�ecunn frnm Ihermel crpnnvan �uc In u clnsed svslam thet cnuld occur wnh Ihe p¢sem or <br />finurc mstelleunn n(beckllnw prcvnners nn thc cnnsumer's serv¢c enMar n plumhmp GKIu¢s <br />f?I The cnnsumer xFree� Iu mslstl eli beckOnx prrvrmirni n�semhher rcquesmd hv Ihe MN'U, end �a mnmtam Ihose hnekOnw prevenuun aasemhha m F�ml <br />xarkmR nrdn The acmmhhe� sha�i b, of e ly7ia sve enJ meke epprmed h� the MR'I! end INe N�eshmgton Slete fkperunenl of Heeltli Aulhnnp 'I-he <br />eaemhhee shall hc Ins�ellcA m ecmrdnntt witli e�l stanJerds esiehhehed M� Ihe MWU <br />i a l 'Ihc wntci meier will nnt hr msmlled unut o we�cr u�c sune� hav heen submineA hy Ihc epp6cen: end Ihe Dictnttc Cmsv ConnaOnn Convol SpeneLst ha� <br />Acicrmmcd �f �hc cusmmr� wdl ncM u� mqall n hnckllow p�cvrntcr nn Ihc cusimmer's sidr of Ihc malu <br />h1 i l�hnt ilm cnst af enr es�cnsinn n! Ih�� uomr savia, renewoi, replacemenl or rcpnir m reach enJ scrvc Ih< prnpenv dcscrihcd shell Irc bamc by mysalf ai <br />rtcvFns m. nwneqn nllhr prtmiu� <br />(S I �I�IIlf BII �II�IC.. N'01[f Tl'lltVflOA JtYI[C. BNI OIIIR LONICCb011 tQ0lrplf0i U{15l!!!OI �IPRI Ih[ fI1CIC! {IIAII, P��C! IIICII 1115�9IIAlIOp. Ilf NII IKCOf11C �IIC �f(���Clit 01 <br />Ihr AtN'U. nib�ea in all iL• rcFuleunm prnnimn�r In wole� servica <br />u� i 1 hu nllu mslallaunn. d mcitt nr me�er M�� enJ appunenences erc huned nr damnged, lhr nwncr. will hc hclA responsihlc end charFed far snme <br />1' i I l�,r. tlic MR'b. ila ulLccr� nnA aFenLs, shnll hevr Ihe nphi n! inFtas� enA egmss Ia ga upnn Ihe pramises dut prnpeny described hercin for Ihe purpasr ��I <br />m�pc:uun, cnnurnmE ui Aisrnnnectmg Iha servac nr lin such olh<r pu�nes ac 1he semce me� reqmm li i� akn undereuMrA dunng tl¢ ume Ihai em oi <br />tlm wnicr mem� mn� he mm �! semcr hr rcnsnn nf em� emapenry� or impmvements nulhntved M Ihe MWU. m en} s�rcet nr nther Inceunn m whrh ihe� <br />mm na���� hecn IeiJ. Ihr A1N'I � x�ill no� bc rcqwred m(unush weler dunng �he prnF¢sc of such impmvemenu lo nm crnsumer whou supph� mm Pur, hr <br />n�t �. dl m tx hnhlr Inr xn) JnmNFcs Inr tl+ ladurc In da .vc <br />IN i 1 ha! ihr �1N'U �hnll Lmr Ihr nFht u� changr Ihr rntc+ nt nnr limc b� Hcsolution. io icmpnnnl� Jucnn�inuc Ihc xcn�iu 1�� cnn�umcrt, nnA lu nainll Ilir <br />mcinjti in ��itmr Ihc u;ua cnnwmcd 1hc M1CI1 shell nm hc hclA hnhlc fur dmm��e M wnter m n0�er uusc rc:ullinE 6um Jcfcrnvc plumhmF rr <br />: eDP���E��n�1aIIcJ M� Ihr nuncr oi u�_upent nn Ihc prcmisn wpyLMY nh wn�ct„and �fir fon Ihol eµeni� nf lhr MWU mm�rvr inypecmd Ihr pluminnp <br />nnA npplience� shall nnl bc plead a� a becis lirr rttnven� m cavr o�ynf�llt"AGifhrenid u m� ����i> „r w�em� sn�i roa „� n� �rl�jy{Ip1ed.Ar+emnn id <br />ocndent loe prr«urc or nlher cau�c whnisucvec Ihe MWh shnll nn! hc hclJ linhle Inr Jmm�cu nor shnll such (eilure nr imermplmn fix ant rcasunaM�� inm <br />b.��wine n hnn:h nl canvact on Ihe pon nl the A1R'U m m em uu� reherc Ihr cnnsumc�. a�helher �enem nr nxnn,�dm prdurmmg Ihc <br />nMi�!mion nl such tnr..:n � m awncr s commct N'eicr xhall hr u�cJ hr apphc:mi nnh nn Ihc prcm¢cs dcscrihcd hncm A ncw npplicolinn shnll A: fiLJ <br />�IinulA wnlrn c� JnircA lur alhci pmnuse� xlfhnuFli Incmcd mi InnA Actinih.J hcinn <br />1'h l�h�r'1TR'U rsrommrnd• in�mlluunn uf x pr,�curr reC�����inC ��o���r. 1pplinni urknox�IrARrs Intmm�tlnn n In Iho ranmmrnduinn xnd <br />p.a�mr. Inll rrcpnnxibflin fnr m�InlhnC ��r fulhn4 Iu inVdl x prr�.urr rtenletin; rdrr un Ihr wetrr �����em In prnleaW Gom hi�h <br />prea�nrr.. � r 1\'1. <br />Illh 7 hr �1\1'll ntilirt� chrcA rdre. n Ihr mrlrr �n prnnu eul<r rrturnin� In Ihr IFnlrlrk mdm. �fhr �IN'll n�nmr.irnd� IMldluliuu al u Ihrrmwl <br />npenunn unA In prr���iu nm�nr prt�wrr build-up nn�rd U� Ih< a�olrr hralrr. Applic�nt �rl:noxled4n fnfarm�unn �� In Ihr rrcummendu�iun <br />tnd naunr� lull rrepand6ilin fnr in�lalGn;; ur IuHin{� lu insldl � Ihvrmel npaminn I�nA. • I Y.. I�'7. <br />� <br />ti! I'Vl l 41)i)HI�S\ i_ i� - _. ' _-_ I t�l NU -�"� HI(Y;F, <br />� II1',IAIF/IP � ��— 19.,\TNAMP.. F-�� .� ' _ r _.� �.,, <br />_ __—� — __ : :r _.- . _-.__—_.-__ <br />— — -- �----r--- ' � <br />� iN�N{ilt'tiNAMI�. i'" 1. � i .�_ '� �.J � � v � ��. �. I.1�:(iAl Dl:tii:Rll'TION. �J a- ' ✓ �-7 � <br />r <br />� �l1'NP:R'ti AI)Plti'S5 •= � _ '-� L-.•`' . !" ' �.._ <br />'.7I1'ti'IA'I'P:ZII'..____ _.- � ... �� J- �_ RLDUPERM�I'ISSUC:DDY'. r ✓i � : � � ��� <br />I hc prcmiscs �rt �n M1c useJ na e___ _- � r _ _ INFURMATIO� 11'TTCR OIVF:N. � . <br />�i I'v1�C 1YPL_ �LLAli41t <br />I��rodoper Inamlled ___ �._ ( I I tierv¢c instnllnunn R cnnnecbun cherpe S ��-� �� L� -�� <br />I hu�nct Inxlellyd _ _ (.I Grnerel fudhues canneclion chergr 5=�.� -•- .._-- . , <br />1 hsinct InsmlleJ IVNre <br />(1�IMhe� j <br />7�nel mm�um reccrvcU w�nh epphcauon S= . �, . <br />I I IS UNUI�RSTck11� �het Ihu Apphrnlu+n. ehhow!h s�gneJ. shoil nm bc hmdmF u�m �hc MUF:II.7"Ii0 N'ATGR f71STRICT nntil epprovedf��'tfl�:l kP � I <br />: Ih; unAcrsigned. nuner inr reprcsemxuvei ol lhr propem dexcrihrd ohove. Jn hrreh� meka eppheeli`m fnr insmllnion af a '�"� Uirn r1Artf,+uppP. <br />.cn¢r cnnneeunn. �ndudinE uppimcnnnccs, enJ all nccessen Inhnr alm� crpcnves ��� �""" <br />! �a1cJ Ih�f _ �.__ . do� id � . .. �, <br />% (' ��.�s—r hl:�!;IL?iC l';:;?_!' [""rC': f <br />nrri.icnnrs sicNnruer , <br />_ • _ _ — ------ ----- <br />, , �7—i� —'� , . iJ <br />Apphcnnl's Namr IPlesse prmU � � -. ..____ ___ . __. ______.._—_- __.__ __ <br />_ � - _ <br />APPhcxnt'i M1dJressM Phonc Numhcr __ .'_ ___ � � __.__ � < < ' -_' __ . �,r � . . ."_. . . . <br />�'Nu4, i 1 r,P.; � I b�•, t'� �`�ilt� tl SI ��1�I41:1' AtiSF:StiMfiN"I� BACI:FL0�1� R�QUIREU^ �f'� F:S '`N <br />I�ry^nlU��cc tivcafUev�tt CCSlnniels \� Uale <br />AI•1'Nf �\�I�II� �II �hil 71 (1 N Al'l72llitil'RI�'I /— <br />f/ / � <br />H� %�! ��' I�me i./;�'G���_ <br />/ <br />n C�/O/(' �. <br />�, <br />IssueA B� _' .. <br />