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' MUKII:fF:ONATF:NDItiTRIfI' <br />APPIJ('ATION P�)H �VA7'F:R <br />Mctcr Sizc: I ticrcitt Addrcss �' � •' ' ;! Acct. No.: �� I$ <br />Numbcr uf l Inits: <br />'vicler will be used (or (check nll Ihai apply): �' Domes�ic _ Ivigalion ___ _ Pirc Scrvicc Pirc I,ine <br />I herebr npply lix �vmer scrvire nnd ngrec in he govemed, in ucenrJnnce �rtlh ihe rcsnlminns, rules nnd reguliuinns nllhe MUKII:I7{O WA'PGH <br />UIS7I21(' f IMR'I )I p�hni�.ing lo �wtcr scrvicc, no�c or herenller in c0ec1. 'I he un�IcnigncA ns o�encr or rcprcsemNive nf Ihe herem-described <br />prcmises hcnby nFrecs ns follna�s <br />� I) lhe cnnc�une� egrces I,� instnll, npermm �nA mmnlnin et nll umrc, ihev plumFinF s� smm m cumplinna wilh Ihe curtent editinn uf Ihe l I�{(i�rm PhunM1mg <br />(lxle ns II p^nninf In Ihc prevellban al lnnlnmmnlinn, end (�rolecllon Gu1n Ihelmnl npanvnn Aue In e duud system Ihnl m111J rKelll N1�h Ihc rreKnl nr <br />futurt ms�allellun n(hnakll��w prevrntns un Ihe conaimer's service enA/ur nt plumhmg fix�urts <br />(? � I�he cnncumcr nRmes In Inslnll nll hxcAflm� p¢rominn nssemhGes reque�led hy Ihc A1N'I), nnJ In meminin Ihnse backllnw prcvenuon acsenbLcs m good <br />NorkmF orJcr "fh< rt�umhhcs xhnll Fc ul n I�pr, svc nnd mMc epprmcJ b) Ihc M\1'D mid Ihc Wmhinglnn tiln�e Ikpar�mcm of Hrahh Aulhorily lhc <br />2sacmhiic. ehall hi� inqnllcA in nc�ordencc wilh nll sixndnrds eslnbh�heA hy Ihe M W U <br />11 i 'fhe wnie7 mclei will nnt he mvinikA unlil n wma use survq� hnc hven suhmiucA hy Ihr npphcuin nnJ Ihe Uislnc�s Cross Conne<nnn t'nntral tipecmhsl hes <br />AelennmcA dlhe ciulnme� e�ill nr<J In inslall n hncAllm� prrrentn nn Ihe cu�unner's sld<uf Ih<mekr. <br />i i � 7�hN Ihr cu.l nl mry c�trn.wn uf Ihe xmer sciruc. rencxnl, uplacemcm ni rcpior In rcnd� nnd xerve Ihe prnperty desc�ihtA shnll he hume hp mysetf ur <br />nti�ignv ns u�rnrqs) ul Ihe pu•inises <br />i� i llinl nll pipes. wmer nicnumnK Acvices m�A nthri cnnn«tinn c�piipmenl npstrrmnlrnm Ihe mcle sholL xllr� Ihmi mctnllnlinn, he enJ hecnme Ihe prupen) uf <br />ih�� A1N'I). •ulqcn In nll il> rcgulnlinm perlmnmE In xatci srr�ii�c <br />u� i 16ai nller m+tnllmwn, if mc�<r or mrlci ho� imd appimomnccs me 6urieJ or dmm�Etd, lhc uuner. wlll he hdJ ¢sponxihle nnA dmrFeJ Iur �nme <br />I' 1 lh;n Ihe M W U. �u ulTinn nnJ nfeNs. shnll hnve Ihc righl of mgress end egrecs In gu uMm Ihe prrnuses miA piopeny JescnhcA hercm fur Ih< pur�v�se af <br />m.pccunn. cunnvcUng oi Aiscnnneclmp Ihr cen Ice nr lirt such ather purpuae+ns Ihe servim m�� rcyuiir II is elso unJersUHel dunnE Ihe inne Ihnt rny nf <br />i6a ��aiei mnin+mip� he mm �f acrv¢r h� ren.nn u(a�p� omer�!enc� m im�nuvcmenls oulhonreJ h� Ilic MWU. in any slreel ar utl�a Incaunn in x�hich IhcY <br />ma� hu�r hecn IuiA. Ihc Ml5'U �.ill nnl Fc rcquned In fumish ��nlar dunnE Ihe pnr�ress nlsuch uupm�emeNs w nn} consumei �eho.e uipply nury� �hu+he <br />ne nll. nn c� hnbl�� lirt nnp dmm�ges lirt us laihuc �u da sn <br />I�I I II:11 IIIC MWIISILIII IN1C IIIC II�III IOlIli111�C IIIC f�il'\ fll flll) Illllf I1)� RCSUIIIb�IlI. IO IfO1r11t0fII)� lII5p�I111Ol1C �IIC SCM1'Itf In Cu0i11111CfR. NIJ In II1q0I� Illf <br />moic�l�l lu rcfu�ei I':v emcr cnnuuncA llic A1WU shnll nu� hc hcld haMc for Anm�,pe hy xmcr a� othci cousc rcsuhmE Gam Jclicuve plumbmg or <br />upphanccx m�lnikd �p Ihc ow�nc� �rt nccupnnl nn Ihc prcmwrs suppGcs wllh ��ntrr. end Ihc fncl Ihm nFcros of Ihc M WU mn� hmc mc�cicd Ihc plumM1ing <br />miJ +q�phunces sludl nut Le pknJ as n hmis fnr recuca> in cn�c al Anm:ipe ns elbresmd irw� �����y� ��i ���.:��� �n,u ra�i ��� �K ����«������d i,> ��,���„ ��r <br />acuJcnt. luw picssurr or nlhn cnu<c ei�mc�Kvcr. Ihc A1N'I) shitll nnl Irc hclJ hnhk fur Jmm�gcv nu� shnll suc6 fi�ihuc or mlcnupuun fur nny rcmm�nhlc linv <br />hc hcld In cumlilule n bicnc6 nf cumraa nn Ihe pnn nl Ihe M11'U nr m wi� �rup reLcse Ihe cun�umer. ��hcihn Icmm� ur ux�ner. Irom pedimning Ihc <br />uhhpnlinn nf �uch Icn:wl's m uHncr'> enmrn<t N'Ne� shnll hr uud I+y nppLcvn unl� un Ihc piemuce dcsnduJ hcrcm A nca epplicauan sholl Ac 171eJ <br />�hnnld ��iticr he dcsucJ lar nlhcr pinni�c� ullhuuFh Incxicd un InnJ Joc�ihcd haan <br />pq '16HIIhr�IN'llrrrummrnA.In.lellatlannf�pr��avrrrR��laIlnR�'�I�r.Appllr�nte<knnwlydKnln(nnn�linn�alnlh<rrcomme�dWnn�nd <br />ocwun�� lidl nepondh1111� fnr Imlxllin4 ur f�IlinF In Inrlull � prr�+urr r<knluinK �d��r on Ihr wun syelem In prnlrcl I� Gnm hiph <br />prnmrt. I\ I . <br />� III� I hr 111\{'ll itlilirc� eherL �uhr> xl Ih� m<Irr lu prtrrnl wuler rrlurninG la Ihr Di�lrltls m�lm. l�he 111\\'U rrrommrnd+ Inelxll�linn of � Ihrrmxl <br />rypxndnn lank In prnrnl norraire prnartr Indld�up rauard L� Ihe nilen c�elrr. Applinnt �rk7nwl<dRa Infnrm�linn �a In Ihr rrcommrnA��iun <br />nnA xseum�� full rr�pomihiliq� fnr Imtelling nr fallinR to Imisll a Ih�rmal r�pandnn I�nk. __ __ Ih 1' <br />SI I;�lt I AI�UItI h� . " � � • � � � Ilil Nu ,'(� � III�H�A <br />�iissinnuir rinin��nu -� — � <br />r i r �-T_�,. ^ �_,, �.f _ _ . _.; _ <br />nN'NCR'tiNA!.11� 1 -- Il�ii,\I 1)Iti(�NII'IIUN I.' <br />uN'NfJt'S AUI11ti-5ti , T' ����T`�� - . . . - . .- <br />, :�,. ,;,il -- , - �, , ,..- <br />iiir�sinriizir - � --- -- inuurruninistiuiunr: <br />lhc prcnusrs nr� lo hc used ns n '�' INfUIt�1A Il!)41 F�IITR (iIVf:N� <br />tif H�9l'F'l l'I'I' . l'I IARI_iliS_ <br />Ikvi•lup��i Inslnllyd I/ � /�� <br />111 tiervice inslnllnuun R mm�edmn chor e f _� �� <br />��i <br />Uisincl Inqnlird (21(ienerni Iaci�ilics cunnecunn chmge S__ ��� � <br />Ihstnel InNnIIrJ f�nwc (ilOIhet S <br />To1ni mnuunl rccci�cA xnh npphcnuon f.. --' _.' '_' __ <br />IT Iti I INUbJiti I � x 11 � �hm tlm ApplmuUnn. nhhnuEh sipneJ, shell nrn hc hmdmg u�wn ihe MUAII.�I h:U N'A'IIiR UI.tiTRI�' f unlJ eppruved hy Ihe UIti1Ri[�1 <br />I, ihe undrrsikn<d. rnvner I��r rcpi<senlmiccl ul �he pnryien� dcunFeJ ehure. Ju hereh7 muke epp��ceunu !or inilullnunn n(e ... �.. _ mch diemekr weter supplY <br />srn��ce cunnccGnn, mcluJinp nppuhcnM�ccs. nnd nll n<cascaq.lnhprnt my ccpensrs ��%1 i�j <br />Iluladlhi. . dn)'nl � . ._.� �___ / <br />AI'I'I It'ANIti'ti1liYAll�ltl- � � � - � � , <br />Apphc.ml's N�mr Iplcau prmll ' � � . ._ __ y <br />AppLcanl'SAJJrcssRl'hnnrNumhcr � _',1 ,�_� . _ . .._ 5 / �� 1i�.=���Y <br />l'RI1titiCI1NNPc�IlU1'('UN-IHUI tillAlA1AR1'Ati51�S5M1'Nl DACKI9l)N'RPt7UIR1iD? YGS � NO �� ry��y <br />l�pcn111cu.r tii�rnflkvicc __.__ CCSlnilielr Deie:_ <br />�, , <br />AI'1'RO\'F.U: � ��II 611 I 611 N A fF.lt UI�THI('f ��/ .. <br />p� ' . . � Dnle r�� � `��' "r� "� I�sueJ H� <br />