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' -�.RSiY�I�s• •\.• f T .�W. .. . . . • . .'S . �A, .r .'I.�-� <br /> � � � I ' MUKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTY WASHINGTON � <br /> I C <br /> APPLICATION FOR WATER C � <br /> Applieation No. _.�, I � � L r <br /> No. G,�/�-- <br /> Meter Size � �� Number ot Units �__ Account No. (� � /7l.�� 3� lM <br /> I hereby apply lor wate•service and agree to be govemed In accordance with ihe resolutions, rules and regulations ol Ihe � <br /> MUKILTEO WATER DISTRICT perlalning to water service, nuw or hereafter in eilecl. The undersigned as owner or <br /> representat�ve ol Ihe herein•described premises hereby agrees as follows: <br /> �1� 1h�d Iho cosl ol arry¢�ton�ion ol Me water�ervice,renewal,replatement or repair ro reech and eerva Ihe pro{�erty described sAall be borr�e <br /> b� mycell a acsigns es owner(s) ol Me prvmisa�. <br /> (21 'fhat xtl pipoc.water mea�mmp devices and other cannectlnp equlpment upctream kom Ihe metar thatl,elte�Ihelr inctaliefion,be end become <br /> Ilic proporty af Iho MUKILTEO WATER DISTRILT.eubJod ro elI Nt repulationt ponelnlnp to water cervice. <br /> (3� That aflor inslallation,II motar or meter boM and appunenWt ere burfed q tlemqped,the ownel,will be M1ey recponcible and charged lor same. <br /> (<) That the MUKILTEO WATER DISTRICT,i1c ot6aon�nd apenlc,thall ha�e tho rpht o1 Mpres�and eprat�to po upon Uie pramises end proparly <br /> descnbed horain lor Mie purpose ol inapactim,tonnectinp or daonnaetlnp tha tervice a la�uch otha puryoeee as the eervieo mny roquire. <br /> I�is elso unde�stood duri��the time Na�any ol the wam�msim may be out ot�arviae by reeson ol eny emerpaney or improvementa nuttwnzeel � <br /> 6y the D�STHICT,fn any�n.,et or other bcaton In which they mey Moe been Ieid,the DISTRICT will nol be�equired ro lurnlsh waler dunnp <br /> Iha propress of�uch improvements lo�ny comumn whou�upply may Ihut 6s eut oM,a be LeAle Wr�ny damepo�la ftc leilure ro do co <br /> (Sj Thnt Me DISTRICT�hatl have the rpht to chenpe the rote��t eny lima by Ra�olulbn,ro lompaarily diccronfinue d�e�ervko to conwme�s.entl <br /> to insislt tho moter(t) �o repiclei Ihe wat�5�^cumed. Tho DISTRICT thall not be Ae1C liabb Wrdamepo 6y waterorother eauca rowhinp Irom <br /> delocuvo plumbinp a appliancee incmlled by�the owner oroecuponl on tl�e premisas eupplied with weter,�ntl the lad tl�et opents of the DISTRICT <br /> mny have inspectea thn plum6inp enA appiience��hell not be pkrW u a bads lor recrovery�n usc of dnmoqe e�alorasaid. II Itw supply ol <br /> wolm sholl lail or be iNortupted by reason ot eeddenl,bw pre��w e u oMm ceuRn wh�taoe�er,lhe DISI RICT�hdl nol be held liable la demnpoc <br /> nor shall iuch lailure or intertuption lor any reesonebin Cme be held to eonctiNte e breoch ol mMnct on U�e patl ol Ihe DISTRICT or in any way <br /> rolievn the mnwmer,whether lenanl a owner,trom peMorminp IMa ohNpeUon ol�uch IennnC�or owner's cantraq. Waler ehell be ueed by <br /> appticam only on Iha pumnec de�cribod herein. A naw applfa6af{�hall be liled thadd watar be deehod lor oMer premirac dthouph localed <br /> c.� � on land docaibed hurein. <br /> je) Th�� tha DISTRICT neomm�nd� Inmll�llon of � pr���ura rput�lfnp vdva Applkmt �eknowl�dpn Inlormulon u b IM <br /> , �aeomm�nd�llon md u�ume�full n�pondblllly lo�In�ulllnp or I�Ilinp to Imtdl�prN�un rpuhllnp vdw on th�wU�r�ytl�m lo <br /> ���/,(,J protacl II from hiph pras�ure. .,� , <br /> v:�/�-f�(p) Th� DISiRICT ulilu�� eh�ek vdv„ �1 Ih� mH�r Io prownl'w�ta nturninp lo tM Ol�ldets mdn�. Th� DISTRICT rsaomm�nd� <br /> In�t�ll�llon ol�IMrmN�ipm�lon Unk lo prw�nt�iewNw pr„�w�bulld•up aaw�d by IM wtl�r M�I�r. Applldnb�eNnowl�dp�� <br /> Inlmmulon���o th�roeomm�nd�tlon�nd�numN lull rnpondbll�y for In�lal�inp or dllnp lo In�ldl�thwmd etp�n�lon t�nk. <br /> S'cRVICE ADDRESS� L7�V I�/�/�SK� LOT NO / BIOGK <br /> /�:�C-��✓ � PUT NAME: �/ � �[. ..�-"��_ � <br /> CITViSTATE/ZIP: ` t+'� r ��' '-� �7C�/ � � � <br /> , ! � ' ����ca_�L_ IEGAL DESCR�PTION: . . <br /> i <br /> OWNER'S NAME: .•:I•�• , " ✓ /��.cai ��t �� ' .. .�,•�l' <br /> �'�` '�y <br /> OWNER'S ADDRESS: -��� �'y�L� � � <br /> CITV.STATE'ZIP. -17`� ��-v-� /j< �1 I � <br /> Tho premisos ere to be used u a --7�— � <br /> ��Y INFORMATION LETTER-6AVE/SENT: .�, <br /> �— <br /> CHAR6ES: <br /> (1�Service Instellauon 8 wnned'an dierye S //�G �'� APR � 1 1995 <br /> (2�Ganerol Fadliue�eonnecoan charpe { _ ���'7 L�/ <br /> �3�oin�, = MUKILTEU WATEN (YYi�ICi <br /> low�amoum received with eppliatlon : � ��7 G'v i <br /> IT IS UNDERSTOOD Ihel th�a Applicauon,nllhough 6igned,shefl not ba bin6rp upon Iha MUKILTEO WA i ER DISTRICT until epprfoed by Iho DISTRICT. <br /> I. the undersipned,owner(or representauve)ol the propany de�eribed ebove,do hereby meka appFnuon br inelel4uon ol s _���a� <br /> diomoler walur supply sernco eonnoclron^inelutFrptppurtenencet,Md ell ea�� labor�t my e�pen�ei. <br /> Datedthi� _�/ daYa� 1B <br /> APPLICANT'S SIGNATUHE��"C ' � U � ��-� � �'� � '/ ✓�/ <br /> ApphcanYs Name (ploase pnnll"\, �� ` � ��'D S�/��"7 <br /> Apphwnt's Addrass end PMne Number _ ��� �J i ���i�.� /..� � ��/'���C'�'� <br /> APPROVE — '-� ' ' /..��e..� :J� /1. e 9t �Sy <br /> MUKI A R DISTRICT ' <br /> Dale: �����5 � <br />