1025 90TH ST SW 2018-01-02 MF Import

Date / - •% - S, (o Side Sewer Address Lot No MUKILTE0 WATER DISTRICT Uoi� ��SU UuL) SIDE SEWER PERMIT Permit No. 46 S GcJ AlkI1141�FSS S 7.� F T Plat Name p n S S S Z)F The undersigned hereby agrees to construct the side sewer as above applied for, including, but not limited tr., the following stipulations: 1. That all regulations and requirements set forth by Resolution No. A-589, of the Mukilteo Water District, be complied with fully and completely. Resolution No. A-589 is, by this reference, included in its entirety as a part of this side sever permit application and by the issuance of this permit and acceptance by the owner, or his agent, agree to be bound by its terms and stipulations in their entirety. (Copy available for review.) 2. The owner hereby agrees to maintain the side sewer constructed under this permit in accordance with rules and regLlations of the Mukilteo Water District, and further will permit access with entry by authorized representatives of the Mukilteo Water District on the property described in this permit at any reasonable time for the purpose of inspection for compliance with all district regulations. 3. Tht owner is hereby notified that the Mukilteo Water District sewerage system is for sanitary effluent only and he egrets that he will not at any time connect storm water drainage from any source to the District's system, this includes, but is not limited to the following: (a) roof downspouts, (b) building tooting drains, (c) sp-ings or under groundwater from any property, (d) any outside groundwater drains. C. The owner and his contractor hereby agree to accept full responsibility, and to hold Mukilteo Water District harmless, for any liability, damage and/or costs of any nature whatsoever which may accrue from prosecution of side sewer work under this permit. 5. The owner and/or his contractor hereby agree to safeguard the work done under ;his permit in such a manner as to prevent injury and/or damage to the public. Such precautions shall include the employment of all necessary ditch safeguards such as lanterns, barricades and safe access or egress through the working area. S. Unless work is to be F,_.formed by owner, the owner and/or his agent agree to employ a side sewer contractor registered with Mukilteo Water District, licensed by the State of Washington and covered with adequate and satisfactory liability insurance, for all work to be prosecuted on public roads, rights of way and private property. 7. The owner and his contractor agree to obtain at no cost or liability to the District all necessary permits for construction work to be accomplished under this permit. i Owner's Name T C 0 r rf, G %: q r✓ Owner's Signature -1 (PLEASE PRINT) Owner's Address and Side Sewer Contractor PLEASE PRINT) Contractor's Address and Phone Signature I •e r , / .l c' (FOR USE OF WATER nISTRICT ONLY) Type of Building and Use Sr n r /C li. ,,, • / Monthly Service Bills To /`� 0 Aye x r, e A pad A iR A i i Permit Fee E 41'0 3 • O 0 Paid_ ll ll g � Issued By (MUKILTEO WATER DISTRICT) �^UGtGV lrrriLf"vrrr� 9