508 90TH ST SW 2018-01-02 MF Import

MUKILTEO WATER DISTRICT SIDE SEWER PERMIT Date lid- Ih- -30 Permit No. VIA a0a3 0 30 Side Sewer Address r=TT_7�T� 'J I k-�% G� — �D -�1" �L,-) ` q Lot No. I � Block Plat Name I>II`1 �k F\i)</lt IS - The undersigned hereby agrees to construct the side sewer as above applied for, including, but not limited to, 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 sewer permit application and by the issuance of this permit and acceptance by :he 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 regulations 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. The owner is hereby notified that the Mukilteo Water District sewerage system is for sanitary effluent only and he agrees 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 downspout;. (b) building footing drains, (c) springs or under ground -water from any property. (dl any outside groundwater drains. 4. 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 •vork done under this 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. 6. Unless work is to be performed 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 Washinmon and covered with adequate and satisfactory liability insurance, for all work to be prosecuted on public roads, rights cf way and p, vate 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 accomplisned under this permit. Owner's Name IV E ( L C— 1 E E. Rom` A �-) Pal aCI U Gwrier's Signature'( -1 •`11,.�.f l tv_.l.�ev -%�_% i71- �lAf[tcLy L �1 f, (PLEASE rPRINT) Owner's Address and Phorte PI) PZ)X CJ 1�r>7 Side Sewer Contractor P"t Ir \ Contractor's Signature (PLEASE PRINT) Contractor's Address and Phone o (FOUR- USE OF WATER DISTRICT ONLY) Type of Building and Use\ V r� nnO�%t r 1.�� ! Monthly Service Bills T.bU L U. 4N L E In' n 0 RIA ei O t) PQ `mac) x -9'1'T�9i Ili) ',j I) __ �%',sltkOv Permit Fee 4qq r1,,Y Paid p�e11 kcrrmp Issued By WATER DIST.