630 90TH ST SW 2018-01-02 MF Import

MUKILTEO WATER DISTRICT SNOHOMISH COUNTY WASHINGTON p(/ APPLICATION FOR WATER Application No. I � No JS'� 1 ii Meter Size � _ Number of Units IV, Account No. a//�2-315 QQ I hereby apply for water service and agree to be governed in accordance with the resolutions, rules 3nregulations of the MUKILTEO WATER DISTRICT pcttaining to water service, now or hereafter in effect. The undersignic: as owner or representative of the herein -described premises hereby agrees as follows (1) That the cost of any extension of the water service, renewal, replacement or repair to mach and servo the property describe! shall be bome by myself or assigns as owner (s; of the promises. (2) That all pipes, water measuring devices and a'Ior connecting equipment upstream from the meter shall, after their installation, be and became the property of the MUKILTEO WATER DISTRICT, subject to all its mgulabcns pertaining to water service. (3) That after installation, if motor or motor box and apourtances are buried or damaged, the owner, will be hold responsible and charged for same. (4) That the MUKILTEO WATER DISTRICT, its officers andagonts, shall have the rightof ingress and egress tagoupon this pmm.ses and property described heroin for the purpose of inspection, connecting or disconnecting the service or lot such other purposes as the service may requim. It is also understood during the hme that any of the water mains may be out of service by reason of any emergency or improvements Authorized by the DISTRICT, in any street or other location in which Liey may have been laid, the DISTRICT will not be required to furnish water during the progiesc of such Improvements to any consumer whose supply may thus be cut off. or tie liable lot any damages for its failure to do so. (5) That the DISTRICT shall haw the right to change the rates at any time by Resolution, to tomporarily discontinue the service to consumers, And to install the motors) to register the water consumed. The DISTRICT shall not be hold liable for damage by water or other cause resulting from defective plumbing or appliances installed by the owner orocwpam on the promises supplied with water, and the tact thatagonts of the DISTRICT may have inspected the plumbing and appliances shall not be plead as a basis for recovery in case of damage as aforesaid. II the supply of water shall fail or be interrupted by reason of accident, low pressure or other cause whatsoever, the DISTRICT shall not be held liable for damages nor shall such failure or interruption for any reasonable time be held to censtf ute a breach of contract on the pan of the DISTRICT or in anyway relieve the consumer, whether tenant m owner, Irom performing The obligation of such tenants or owner's contract. Water shall be used by applicant only an the premises described herein. A new application shall be filed should water be desired lot other premises although located ,gvJv on land described heroin. r, (6) That the DISTRICT recommends Installation of a pressure reguheling valve. Applicant acknowledges Information as to the recommendation and assumes full responsibility for Installing or failing to Install a pressure regulating value on the water system to protect It from hiph pressure. The DISTRICT utilizes check valves at the meter to prevent water returning to the Dlstrlcls mains. The DISTRICT recommends Installs lion of a thermal expansion tank to prevent excessive pressure build-up caused by the water healer. Applicants acknowledges Inlcrmation as to the recommendation and assumes lull responsiblity for Installing or falling to Install a thermal expansion tank. SERVICE ADDRESS' 63()' 9�11W %Y .SUI' LOT NO. a—O,41 _ BLOCK PLAT NAME. 01 CIT'0STATE/ZIP: CC'i'/ �J LEGAL DESCRIPTION: - sf�'[� `� OWNER _ 'S NAME: _ CrAWo �G�� r I g r — OWNER:I ADDRESS. 9p /.VY- S U% — CITY STATE'ZIP: 1r'1)11l!1/! 11 � The prrnuses are IO be usad ns a alKy fX l INFORMATION LETTER GAVE/SENT: -- CHARGES'. (t) Service installation 8 connection charge (2) General Facilities connocton charge f �i2�' /Z/> >• w' /�� (3) Other Total amount received with application f errc��.•oy JUN 8 l SS IT IS UNDERSTOOD that this Application, although sign, shall not be binding upon the MUKILTEO WATER DISTRICT until approved by he DISTRICT. I, the undersigned, owner (or representative) of the property dewit od above, do hereby maze application for installation of a -inct diameter water supply service connection, includina appurtonances. and all p4cejiary labor at my expenses. Dated this [ i daygl APPLICANTS SIGNATURE. _--.—`1 Applicant's Name (please print) _ — Applicant's Addiess and Phone Number APPROV 77KITER DISTRICT ,!7 7`-ram .st.a Date. Z! 2• 'Y-L