Laserfiche WebLink
____ _._ __ ._ _ ^ <br /> . _ _ ---- - _ __ . <br /> . rrw•��'•-�r�.�y. .�r. � . �.. _.. .. . .v�• .� � 15v w.��+.y <br /> � �� � MUKU.TEO WATpi DISTRICT . <br /> _ .. , SNOHOM8H COUNTY WASNMt'iTON II I �U��O. <br /> :__:�.: - - � . . APPLICA710N FOR WATE13 / <br /> ApplicatbnNo. ,� I �y Nc. 1 •� � �� <br /> Meter Size Number oi Units A000unt No. <br /> 1 hereby apply for,water servbe and ayree to be povemed in accordance wltYh the reeokitbns;rules and repulatbna of the <br /> MUKILTEO WATER DISTRICT peRainirg to water servioe, now or herealter in elfect. The urbersipned as ownsr or <br /> repro§ernative of the herein-descrbed premises hereby apneea as}ollowa: <br /> (i) ThY Ih�oost of�ny u0mdon of tlr w�ror wrvb��nn�wd�npMa�nt or npdr b n�ch rid nrv�Ih�prapNy dwaW�d tlrA b�bornr <br /> bY mY�l(a wipns u owrrr(�) of IM pnmiws. <br /> (2� IM popra of tlr MUIO�WATER DISTRICT,t�pb tl wpuMl�p�NYiq b wWr rrvlo�. tliNr hrWNlan.h�and 6�oonN <br /> (9) ThdMrNsYl�Yon.Nn�Yrorm�Yrboz�nd�ppuMnat�sbuNdad�m�prl,llranr4w�b�h�Wn�poro6b�ndahrp�dlat�. <br /> (4) Th�IMrMUqLTEOWAT6iDISTF�CT.IbaMannd <br /> auaPo.a Mr�Y,k.r»pwpo..a Y�p�fion.oom�aYq«amwdip n».wwo.a a aia�ahv pup�....Ih.ewlo.m�y�.quY.. <br /> ft k�bo wdwabod durkq M�Mr/rtmp d Mw�Mmrn�nry MaM d rrMo�by nnon drq wni�.y wYnpovwtMnO rAadnd <br /> tli�prop�u ot wcn��b a oarum�►vrhai�mq rw�e�au oll.a 6�I�er tor�ny d:rp�rar ns NWn�b ddo�w <br /> (5)Th�t I1�DIBTRICT tlrllrw M iipht b d�rq�tlw rtlp Y�ny Wn�by RroMNon.b M�qady d�oanYiw�lM MrNor b aomun�n.rd <br /> bkuWrrm.Mr(s)rorp�wMwarroonWnwd. Th.DIBTRICTdW noeb�hNdl.bNbrdrn.p.bYwal�raoMrwua�.riMYplrom . <br /> d�NaM pMmbinp a�pplmasinaWNdbyMawrN►aooaupriton�p►�nl�wppldwMwM�r.�ndOrha�ht�nMdM�DIHiAICT <br /> mq Irv�Imp�ci�d tlr pMxnNiq nd rppiu�on drl not 6�pNtl�s a brk br n�y In ow of d�mp u�khnld. M tlr wpply of <br /> waMrNW W ab�kd�rrupMdbynuond�oddwwbwp�u�aoMiwauMwlrYwwr.MDIBTRICTdrMnalb�hNdYbl�fard�mq� <br /> nor shd suoh hNur�a InMmiqlon/oranY�ran�bb Wn�b�hNd b aansYWM�W�rh d mtir�otw w p�rt of rr DISTRICTa In�nY N'�Y <br /> nMw YM mnwmr.wMMwr aiwrt a owrr►.Iran p�lamiq M ablp�Yon ol wsh wrK�a ow�Nt�mwrat W�YrduN b�uad by <br /> �pp1aM aiy on Or p�daaib�d MrMn. A mw appYodon Nrl b�flrd YiaAd wYvb�drNd lar oN�r pnmiMs Wiouph IoaMd <br /> �� an lud daab�d hN�N. � <br /> ��(� ThN IM DIBTAICT noonwmnd� Intl�N�tlon of � qw�un wpW�tlnp vdw. Appb�M aaknewNdyM Infonmtlon u'b M <br /> noommw�ilbn�nd�uuma fWl►aPondbWly for ImW Wq or hW�p b NaWI�pn�wn rpuVtliq vYu�an tlN wapr�y�Nm b ' <br /> pro1�W fl Iron�blph prM�un. <br /> � <br /> nr S�m Th•wsrn�cr utl�«ah.dc„w...�m.m.r.m q�v�..r.ha.�Mo u th. a.u�o�.mY�.. ,h.o�srn�cr..o�.ie. <br /> M�ull�tlon of�tl�rmU�xp�n�bn hdc b pnv�nt�awulw prMwn bulW�up awW by rrvnMrlrM�r.AppIIwM��dOawl�dpw <br /> In(am�tlon r�s tM r�oqomMiJ�tlon rid�IuM n�ponNb�ry br ImWMiY w qNlnp b ImW�thwmal a�bn wrt. <br /> SE VIC ADDR�33: N LOT N0. BLOCK <br /> G �,►T�: .F�r.uar�e�'i R�rulf rn c�r — � <br /> C�TYISTA IP: LEfi11L DESCRIPT10N:� Q <br /> OWNER'S NAME: �- � E (!� <br /> OWNERS ADDRE88: �S`O IQO �h /N/�. �.I`G <br /> CITY/STATElZIP: f�- � �� <br /> The preml�Yr b 6�used r• � � <br /> � INFORMIITION LEITER-(iAVE/SENT: �. - <br /> CHARCiE3: P�� <br /> ��# �(�`( c,�s.��.mae�a����. i a-�� DEC 2 3 1997 <br /> �x�c�.�.i F.a�u..�ne�a�. t .�' <br /> (a�otlrr i _�l UKILTEO WATtH DISTRICI <br /> Tohl�mount reaiwd wNA�ppYadan i ' —'`-' <br /> IT IS UNDERSTOOD tliet Ihls AppYatlon,altlwuph dpnW,d�1 not b�bM3rq upa�tAs MUKILTEO WATER DISTRICT untl�pprawd by IM DIS7fYCT. 4 <br /> '" I,Ihe unde h�nby mak��ppieNfon IOr k�all�tlon d a I l � <br /> rdOrwd.own�r(a npnunn6w)o(IM ProPwtY dnalbed�bov�,do � <br /> diemeter w�lw oom�ctlrn,Inc n � nas.and all I�ba at my�Ypnuu. <br /> Dated 1hls dsy of ,1D�. <br /> I <br /> APPLJCANTS SIGNATURE: <br /> Aaplicm,rs Name(peata vmt): IU 1(C£ 5. AA£hf1.1 <br /> aPpc�.�rs�...�+an��.w�eK: ISfeo 14o�h. At/b. N� � C¢25� �47- 1726 <br /> APPROVED: ��-Y. l�1tA� �f�DOS -_ .. <br /> MUKIL R DISTRICT -- - - - <br /> ey: D�r: i <br />