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' � MUKIL7'F.O WATF,R DISTRICT <br />APPI.ICATION FOH WATF:H <br />1 ' !ii <br />Mcirr Sirc: ' f Scrvice Address: , , , � - , � . ' � � Acct. Na.�. �{ � (� � <br />Numbcr of l4iiis�. <br />Meter will be used for (check nll Ihat npply): �' Damestic __ Irrigation ___ Fire Service _ Fire I.inc <br />I hcrcbp �ipply liir walrr service nnd ngrec �u he knvemeJ, in accordnnee uilh Ihe resolulians, mles end regulotinns of �he MI IRll:l ll� �\1'��I I� It <br />I�Iti I ItICT (MN'I)) pennininF in wmer service, nnw nr hetenller in eflcc�. 7 he undersigned as ov:ner or rcpresemmire n(the hereimJeccrihcd <br />prcmucti 6crc6q t�grces ns �bllnws <br />� I 1 'I'hc <unsumn eprtcs In Iminll, uperelc end mainlein et nll umcs, thcir plumhinF syslcm in camplienc< wilh thc wrtenl eAiunn nl Ihc I lmfomi Pluml�ing <br />Y'UAc ne il pCnnlns In Ihe prerenlinn ul mnlNnunnlenn, enJ proleQlun fionl Ihermel eapenVon d�¢ tn e cload syslem ihRt could rccur xilh Ih< prc5enl rn <br />fitlurc inclxlletinn nfheckllux pmvemns nn 1he consumer's serv¢e enA/nr m plumbmg Ifxlurn <br />i.' 1 The cnnsumrr agrecs In incUJl nll hncAlluw prerenlinn rtcsemALes rcqucqed hy Ihe MN'U, nnd Im m�mlein Ihae beck0ow prevenunn assemAhes m gnnd <br />wnrAmp oiAc� llic nsumhlrcs shnll hc af n lypc, ein end mnko epprovcd by Ihc M WI ) nnd Ilu Washinglan Slale Ihpenmcnl af I Icehh Aulhnnly l hc <br />essemhl�c� �hnll he mqnlled m ncan�Jxms wnh xll slnnJxrds estuhhshcJ hy Iha M WD <br />i+� 'Ihe �vnin niemr wdl nul Ae inslollad unul a wnter use snrvey hxv heen eubmmed hy Ihe nppGcanl mid Ihr D�slricts Crnss l'nnnecuan Coniml Specmhst hn� <br />A��IrnnincA �(Ihe cusinmrr will nced m ms�nll n hncAllnw prerrnler nn Ihe cuclomer's side n! Ihe mner. <br />1.1 i 1 h;n Ihe cust ul nny erlenainn al Ihe emn servme. �enewnl. repineement ar rcpnir In reach nnd serve iht prnpenV d<sentKA shnll he Anrna hy m�eeUai <br />nssiEm iu uw�nal s I al Ihe prtniurs <br />I`i �Ihnt nll pipc., waia mcn�unnF Jcvicc� nnA ulhcr canneduxi cywpmcnt upslrcxni timn Ihr mcln shnll. n.1er thrn inslellehan. hc unJ brenmc ihc pru�n� ,�I <br />Ihr Ai\41). eub�ccl In nll ils rcFu6mnn+pcnaininF lu ��nlcr scnice <br />u� r 1 hm xllr� m+iallnlmn. dmcler o� mclrr Fo� enJ nppunrnwias nre hwmJ rn Jnmoked. Ihc ow�ner. wdl be 6eld rc�pon+iFle nnJ d�e�g<J liu snme <br />i l l 1 hal Ihe M W U. tls ulliars enJ nFnus. shnll hnve Ihr ri�ln nf mFrees nnA egrcs� lo gu upnn tlm p�emisee mid prnperty Jescribed hercin for Ihe pmpusc nl <br />iwpeclian, cannecGnF in diaunneclinp Ihe aerv¢c nr lirt such other pinposes ati Ihr aervice me� rcqwre It is elso undersl`mJ Junng Ih< ume Ihm xm ��1 <br />ihr ��alcr mmne mm hr aut al svn�¢r M �cnsnn nf eny cmerRcnry nr impnrvcnicnts eulhomcd hy Ihc M W I1, in en} x�rtet ar nlhvr lucntian in �Nudi iho� <br />mn� mnn c�en huJJhc h114'U oill m�t Lc rcquurA lu Gimish wN<r dunng Ihe pmgrexs nl sudi improcemeNs In nn� conaimmi whase supply mn� Ihu� hr <br />cul ufl. m hi� hnhlc lirt ony dnnm@c� lin in Indurc In du nn <br />i e i I hal Ihr MN'U iluJl hnve Ihc nFM In chnncr Ihc ret<s m nny Iimr Ay Ite+nluliun. In lempnranly discununue Ihe serv¢c In cunsumers. wiA lo mstall tlic <br />mamipl d� re fn�er Iha xnln cun�umed �I he M\4I � shall no� he hdA Lohle fnr dmm�ge hy wnier nr nlhri ceuse irsuhmg Gnm Jefecuve plumhmE rn <br />applimices mslnlled hy Ilm nwnei m nccupnnt un Ihe prenusrs suppGet x�llh welei. nnA Ihe (ncl Ihnl agenlc nf Ihe M W D mny hm�e mspecled tlm plumhinp <br />nnd npplinnn+ xhnll nu� he plenA as n havis fut ncnvery in cnx nlJomnge nr efunsxid if Ihc suppl7 uf wnla xhnll Ixll m he inkrrupteJ hy rcusun nf <br />urnJan. Inw prc��ure �n other cnnu �Nmh��evcr. Ihe MN'D shnll nnl Ae h<IJ Gehle fui dmm�kee nnr sh�dl auch fullurr m hnerrupiinn fnr nny rcomnable �uno <br />hc hrld In eumtimlc n brcnch ul cununa un Ihr pnn nl Ihc M0.'U oi m nny wny nlic�a Ihc mncume, nhclhcr Icmm� nr nwne�. Ilam pcdurmnig !hc <br />nLhpnhun �d wrh lenanl�s oi nenei'� wnlrncl l5'nie� shnll be usaJ b� npphcma nnl� nn tlic pnmues dascnbed herem A IICN p�1�llllAllO�1 SAOII hC IIICA <br />+h�nild ��nln br Jr�nrJ Ln ��Iha prani�r+ nllhnuFh IncnlcJ an InnA dc�cnheJ hnan <br />p11 I hx� Ih< M1l II �rruniin�nd� Inqxllulinn nf n prrsair� reRulolin4 e�l�r. ,\ppliconl arFnnekACe� Infnrmallun �s In Ihe rrrnmmenJ�tlnn pnd <br />niannr. lull mpnmlLllih far imlxllin� or fxiling In imull � prca+urc rcRulxtink �alvo an th� ew�er spelrm In protrN N frnm hlRh <br />prr�au�r. . I\ 1. <br />I llq I hr �IN II nliliir� �hrrA �uhn al ILr mel�•r In prc�enl e�ler rrinrnin� In Ihr IIi�Irirb malne. 7�he 111N'll rrcnmmrnJ� Ineullulnn af a �hrnnnl <br />r�pandan IpnA In prerrN ��rred�r prnave M1uiIJ-up opueal Iry Ihr n�ler he�trr. Appllau�4rknnwleARre Intorm�llon n In Ih� rrcammrndxUun <br />xnd x��umr. 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