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' ti MUKILTF.O WATF.R DISTRICT <br />APPLICATION POR WATF:R <br />Mr�crtiiic�. � ServiccAddress: '/�� . • �. " .�'� _�_. `_' __ Acct.No.: Ci,..�y.C1 <br />Numbcr uf Unils: ,� <br />Meirr will be used for�check ell ihnt npply): �-� Domesiic ._ Irrigation ____ Fire Service _ _ Pire I,ine <br />I herchy npply for ���a�er service nnd nFrce to be Enrerned, in nceurAance with Iht resolulinns, mles nnd regulminns of (he A1UI�IL71'.O WA'1�1',It <br />I�ISlILIC�P (MWI )1 pertnining In �anter sen�ice. no�c nr henn�er in eflbcl. �Ihe undersigned ns owner or ropresenintive n(�he herein-described <br />prcmiscs hcrcby ngrces ns follu��s <br />f I I The concume� eprra lo Ins�nll, aperxle ond mninlmn et nll uma, lhert p�umhinN syslem in cnmplinnec wilh Ihe cunenl cAnion af Ihe Unifnrm I'Iumhm4 <br />('nde n. n pennins u� Ihc prevrn�ian nl cnnlnmmnunn, enJ pralecunn from Ihemel enpmislon Auc m e c�osed system Ihei cauld occw wdh lhe prescnl n� <br />fumrc msinlhnian nf M1nckllnw prcvcnkn nn Ihc consumcr's scrvitt enJ/nr el plumhmg Grmrrs <br />�' i 1 he cunsume� xpmea lu m�Inll nll hncAllow prerenlinn nrsemAlms mquesled hy Ihe A1R'I ), enJ In meminin tl�ose back0ow prerenuon assemM1hec in g�wJ <br />wa�krog �rcAcr �Ihc xxcmhhc+ shall hc nf n lypc, size nnJ maAc eppruved h� Iho MK'U end Ne Wnshingtnn ti�eie Ihpenmem o( Hrahh Awhnnry 'l lm <br />nssemhlic� xhnll tre mxlnllcJ in arenrJnnce ��nh nll x�enJards eUxMhshcA M� Ihr �1 WU <br />i � � lhc wmc� melar will nnl hc mmnikd mmi n xnl<r usr sunry hn� heai sul�mmcJ b� Ihc epphcem nnd Iha DisVictx ('rnss l'onnacuon Comrnl Speciahst hn� <br />d<Icnnincd �I thr aiaunmr wdl nccd d� maall n bnckOm� prrv<mcr an d cuqnm<r's sldc nflhc melcr <br />pl i 1 hnt Ihe cuq uf nn) eslemum id Ihe w��lci xn�i�:c. rcnrwal. mpincannn nr rrpmr �o rench end ecrve Ihe prnpeny descnheA shell Ue home by mysel! o� <br />n.siEns e� rc nn61 uf Ihc prtnum} <br />i; i 'I hnl nll pipes. x�nn memunnF Aevices niW allier i'nnnedion tqnipmvnl upNream liani Ihe mela �hnll. nllrr Iheu mshJlelion. Ae and hecome Iha piuprn� ,�I <br />tlm M17W'I). �uh�oci lu nll ns mgulnunn+prrmmink lu ��mcr scnicc <br />li�i I na� nOrr m.inll;umn. J niemr ar nmter Iws nnJ nppunennnu� me hmuJ rn Jmm�EeA.lhe nNner, xiil hc helA rcspnnsihle nnJ cho�geJ lin seme <br />( 7 i I hai Ihc M W U. tl. nlllccu nnd egenl�. �hnll hme �hc uphl of mFrr�x nnd egress In gn uMm Ihe pmndsrs nnd pruperly descnhed hvrtm fo� ihe purpure ul <br />m�,pecuun, commam f m diunnnecunF Ihe srrvice nr lirt such utha pnpmx�•s m Ihe servme mn� icyuuc I� i� nlso unJersl�rod Aunnp Ihe ume Ihm nm ul <br />nie ��ntci mnins mn} he am nl un ¢r by rcnsnn nl nny emergency nr impiuvenenls aulhurived hy Ihc MN'U. in eny slreel o� nIL<r Incmmn m xhidi ILa� <br />mu� hurc Fern Lnd. lhe M W I) n ill nal bc nqwreA lu firtnish e�nler during 16c prngress uf wdi miprm<mcnls 1�� mry� ennsumer uhuse snppl�� ma� Ihm he <br />. u� ulC ar bc Lxhlc lin nnl JanmEc+ lin il. Imlwc la Jo w <br />I N i I hnt Ihe MN'U slmll have Ihe u@hl In chnnEc Ihc rmes nl nny ume Ay ItrsaluGun, lo IemMrtanly Ji�cuminuo Ihe urv¢e lu cunsumers, nnJ lu m�mll Ihc <br />mc�eq+) la « giqci Ihe �c:ner umvwned �I he A7N'U shnll nol be helA hnbk fnr demnge by wntci nr oihe ceuce resuhmp liom Jefauve plumbmg ai <br />npphmiccs mstnllyd hy Ihc ownci m occupnm on Ihc pmmk<s supphc+ atlh wetrr, nnd Ihc !nn Ihm n�;cmv nf Ihc MN'U mey hnre mxpecicJ Ih< plwnhuq• <br />nnd npplrmce+ shnll nul hc picxd e+ n Fnsu ti�r ra�,vep� m rnse uf dmm�Ke nv ufn¢sniJ If Ihe supply af w�ler sLnll I'mi nr he inlermplcA hy icmnn at <br />nctiAcnt. luw pres�iuc nr nlhe� uwsc whnlsiwver. tlm Ml4'U nhnll nnl hc helJ liahlc Gn dnnmFcr mn shull such failurc nr mlennplion Ln nny r<n�nnehlr bmr <br />Pa held m cun�uhtle n hrendi nf cnnlma un Ihe pm� id Ihe MN'U ai in nn) wu) reheva Ihe can+umer, whelher Iemm� w owner. funn perlurminF dir <br />n1�6Fabnn nl fudi lennni�� �n mvnet's conbncl 1Vxle� �hall he u�eA b) xpphami nnh un Ihe pi<mi+es Jtacnbed hefem A new „��n�,u��„ si,;,n i,� lilod <br />�IIIIIIIII \1111C1 (tC IIf�I�fII Iiq �IIIICI �RL'llll\f\ nhhnul!h IucnlrA nn I�md Jc�cnM1cd hrrcm <br />pp lhnl 16r hR111 irrummnul+ In�lallalinn uf u prre�urr rc4�datlnK �'�Ive Applk�nl uknnwleJKr+infurm�tlnn a� In Ihe rrrammend�tiun pnd <br />pcvunr� lidl rrtpbadhllllr !ur InclnllinC ��r fuilln�! In Imbll � presinrt rrKnl�ling cehr un IM weier syetem In prolrct II frnm hlRh <br />prre�urt. ' I\I. <br />( IIII �1 hr M\1'll utllvr� rhrcG � uh2� cl Ihr mrlrr In prn�nil wxlri relurnin� In Ihr UidriAc m�ln+. 1 hr Iq�YU rrrammrnJr In�hllo!Inn nf � Ih�rmxl <br />np�minn I�n41n prr�rm ��rc��i�e prr..nm hu0d�np rau�rJ b� Ihr o�lrr hraler. Applic�nl uMnnNtrAK��:nfarm�Uun �s tn Ihr rrrmnmenJxlinn <br />�nA nxeumre Gill rnpmnibilil� Lrt imlallink ur fallink lo inaall � Ihermd r�p�ndnn twnk.,_ _'. IK-1. <br />/ . j <br />Alla\'ll'ilAUl�ltl�:titi ' IUINn . __t11[N'F <br />i'll}vtiTA'fL/711' �,�.— ' ' _. I'IATNAAIP � .. . ___'_ <br />�IN'Nl�lt'tiNAAfI� �"�-���� �'����I�_ ��'//� �'�'-��-� II��iAlUl�ti('Itll'lIf7N ".. - <br />_. �_ ._.�___ .. } _. _ _ . _ _ _ <br />��N'.":hICti�I7l�ltltiti � � � y �: '' . _ _ _ . <br />- � . . - . /— { f';'� - � _ <br />�'ll1''tilA'I-I-//II, � . //_ HI.UIiI'I�ItAlll'IStiUi'UHY.______________ <br />-�, , .. ��, --- - <br />16� prcuuces nrr Ia ht u�tJ ns n __ .. ._.__ _____[ /::._ _-. -. . INI nRA1Al1ON I.I�:1'I�IIR (ilVl(N <br />tii R\'I�'1.1 f \'I'P CI)AI((iIIS <br />�., <br />I k� rl,�pei InstnlleA ' 11I tiervice ins�allnuun h conneelinn ahnrge S__ �.a= •. � <br />I n.ui, i In�i:dlrA R) (icnenJ Pncihlies nxmecUun rhnrge S ����i'A1 .. <br />14.In, i hi�lallcJ I wwc I i) Ulhai S <br />�?r: <br />lulnlmnnumittcircdeuhopplun�inn S.____'-'_'.. <br />I I I� I�NI N� Itti I� �� H� �h�a tlu. .\pphr.ninn. nlUi��uEh �ifned, .hnll nul Fa hmJmg u�n+n Ihe MUAII Tf10 WA'I�F.H UItiTHICT unGl appmceA h� ihr l dti I Itb � I <br />I. �Lr uudenifneJ nan<i I��� «P��'��•���:�����) �`I Ihe prupnry JexnbrJ nMn-q Aa hrwAy mak<upphcaUon fnr mslnllnunn uf e_ / _-inch A�nmeler xm��i �iq,pl� <br />.en i; c cnnnedw�� nduAmF nppmtenance., nnd oll neces�nn� Inlwi m nry rrpen<es <br />I tn�,l Ihit � Jm ul . - . <br />\I'I'lli'ANIti'tilliNAll�ltl � '� '�'— <br />,�pph::un'�NnnmlPlen.<punO � � . � _.__ .. __ <br />\�,��L; ant's AdJra�ti A� Phnnv Numhcr '� .. ' �' . � ��'•�, '• __. .'r '� / � )� "�i� <br />� P., ��� �'��NM �� I 0. W f 1 �V I RUT AUAfAIAHP AtitilLtiti�Mii'JT NACRII UN' RGQ� IIRISD'' __ �Y/:S ` NO � 7� <br />I�p� ��iUru.r Svcuflkvice _ _ _ C('Slniuels �'�T_ De1l. <br />�_�` <br />�1'I'HU\ IJI:: 111 611 I FI11\:�1TN 171tifN1f'f /` <br />lii � � Ilate �;ii�/7t?'.J .'� IesuedNy . <br />