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�y ...'...�.. p. .�s... . ..yr y.�. . . . _ . . <br /> ...a.�'r".. "r ' �-a_.r.:a.. '. . .. . r�!- < "1sY`•�� . .. �, ... . .' �,'. <br /> . � ; MUKILTEd WATER.DISTR�CT <br /> � . . ENOHOMISH COUNTY WASHINGTON <br /> •,. <br /> _.... .�__ i ,,, ;.;:. r - • • APPLICATIO(�l FOR WATER ll/� G IO.3O�� <br /> : , . � �. ���.3 <br /> ApplicatbnNo. ` p�ppuntNo. �3� 0/03d7V <br /> MeterSize yN C�(., Numberof UnRs <br /> 1 hereby apply for water service and aproe to be povemed in axordence wkh the resokrtb�;rules and repuladons of the <br /> ' MUKILTEO WATER DISTRICT peAaMdnp to watsr servioe, mw or herealter in elfect. The undersipned as owner or <br /> represeMative of tlie herein-descrbed premisea hereby aprees as tollows: ��-- • <br /> (ry Thet tM cost of uy simemion d tl»warr wrvioa�raNwrd.npl�o�nrnt a rptlr b n�eh�nd serve ths piopWty d�aMd dwl b�borta <br /> hy mywM a w(pn�u ownx(y o11M pnmiaa. <br /> (2)That eN piPK�w�w mwwrYq dwias ud Mh�r oonrwetln0 pWPm�n��wm hom M m�Yr aMM��fisr IMir krWlWon�b��nd b�oom� <br /> tlw propKq of tlr IiM1qLTE0 WATER DI8TAICT,subNct b d b�p�i�tlons p�oYnYp b wux Mrvia. <br /> (9►Th�t dar Insetl�Yon.M mM�r a m�M box nd appurrno��m buMd adrn�pW,tl�anM►.wM b�hild raponsY�la nd drryW k►wn�. <br /> (4)d�aaiWd uhwNr�br h�of�n,oa��aYq w d�oartqYq 1!N wrNas 4 br Wol�oMr puryow�s �u IM���MQs��puY�• <br /> ft is dw urdaspod dwirp M��t�ny d Mw�Y►mYns m�y b�autd wrMw M nuon a NY Nn�p�wY a imprown�hls rAnrlsd <br /> O�i��pipp�p Wth�impoNm�b b aoroUnNr MAqN Nqply m�Y rNn a O�,Or b�MbM ler ary driupn IOf ib t�MM��brdo��0 <br /> (5) Th�t 1M DISTRICT�hY IrN�ilpht b ahnp�IM oW�t�ny tlm�by Rrok�b�4 b Mmpa�ify dtoonlM»tr rrvb�b oonManws.�nd <br /> b I.rom[tlr mrw(s)m npbw M w�MaonsunNd TM DIBTRICT dNl notb�hNd I�bb Iwdrn�p�by wtl�raolhwanw naAlYp kam <br /> dN�dM�Plumbfn0aapplr�wc InserNdoy Mowiwaooapakon M pnn�i�w MpW�dwMhtwrr.�ndIMhUMwep�nboftlr DISTHICT <br /> m►r n.w�,.p.a�d un q��ndro.ne�...nu na e.p..e...e..r wr�oov.ry�n n..a d.m.o.o■ior..ra. n ur w�y a I <br /> w.w.n.rwi«e.tm.m,q.abr�a.oda.�,a.p..w.aor�ra�,..wn.uwv.r.MDISTRICTtlallnotb�hNdf�W�brd�mpn <br /> . ' norahdlsuchlaWn«Inbrtuplfonla�rrynoombNlim�b�MldbooMW��b�hdaoMr�ctonlhsputo111rDIBTRICTaM�n!'�Y i <br /> oww n.oonw�n�r wn.rrr Mnnt or own.r�ian pKbmArq rn ow0.ron of won brMnr.«owiw�•ow�r.x wr.r tlwr e.uae ey <br /> �ppiaurt ary on�r pn�Mwt daaib�d MrNn. A mw�ppNatlon NW b�INd�hould wYw 6�dnYW fa olMr pniN�w dtlauph loeabd <br /> / � on Yrd d�wbd Mr�in. <br /> Krt (6) Thtl IM q61A1CT noanm�nN InrulNtlon or . p+u�w npul�tle0 vdw. AppNo�nt .dmowNdpn Monmtlon u a tlr <br /> na,mm�nd�lbn�nd uwmM IW rppon�IbpNy tor InaWUnp er hMnp b YaW I�pnuun tlnp vMu�on IM wNr mlrs a <br /> / proMot It ham hiph p�wura � <br /> V Nr�(�Th� D16TRICT utl�alMok wlw��t Yr mN�r b pewwN ww nurnlnp 1e tlr DbMot�'�Nvm. 7M DIfTRICT noomw�d� <br /> InN�WUon W a tlw�1�W�lcb prw�ntuta�ulw y►Mwn bulW�upaw�d bp IMaMr hrMr.App�a.:U�aMMoM�dp�� <br /> In tl soom�d�Yon�nd/NumM W�IMp011WbNY for ImWY+Y ot hMep b ImtM�tlwmd�tynrbn 1�nk. <br /> 98 r �� , . 1 _ <br /> ''SERVICEADDRESS: VC! / � W LCTNO. BLOCK _. <br /> � '` � E�+ � 20y _ rur wu�• . <br /> cir'usr�rFmP: �c�oEaca�aa: ' .: : <br /> "� �/'r ;>,, _,. <br /> OWNER'S NAME: ' � <br /> OWNERS ADDRE : � t' �� /�� :; � � <br /> CITY/STATE/LP: tl�. • %R,l° UR�.�J� 1� �"a 9 E <br /> The premiws w uwd�s a _. <br /> �f 1 I i A�{ _ INFORMATION LETTEH-OAVE/SENT: �'J �J <br /> CHAROE3: <br /> (1)Swvioe InaWytbn 8 oonr�ectbn diWs i <br /> � (2)Ciarnrd FuiYdat oonmcuon clrry� i , <br /> (3)Olhar f <br /> _ ToW rraunt roaNad wYh�ppiutlm t .-- <br /> I'i IS UNDERSTOOD thet tAk AppAadan.tltlrouph sipned,�hd not bs EInQ�q upon tlM�+RIKILTEO WATER DISTAICT untll�ppmwd b�y/tlr DISTRICT. , <br /> fI�Me undenipned,ownar(a reprssent�tlre)or the prap�tty d�taibed�bow.dn Mr�EY��PP�+�tor InaW rtlon ot■ _L—-�A <br /> idlemerer water s �rvia�omectlon�iy�lu6 �, rlan+na+.�ndQ�r�w� N�U my exp�nps. <br /> Damd thf: dey d r'"µ `� <br /> -- ✓APPLICANTS SIGNATURE: ` <br /> ApqieanPs Name(plew print): ( �?O � d _ � , /�..�t <br /> . ApplteanYs Address�rd Phoro NumWr. � • �• v�CR�i� <br /> APPROVED: Q�� �`�z' 1 <br /> MUKILTE TER DISTRICT � - --- <br /> gy; .._ � '' ' D�r: 8 li <br />