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Tap No......"�...-._„?V�,� <br /> ' ........ <br /> MUKILTEO WATER DISTRICT <br /> ISNOHOM�SH COUNfl, WASHW�,70N � <br /> � �0 <br /> J <br /> � APPLICATION FOR WATER <br /> � <br /> � <br /> NI blanks must 6c fillcd in or crossed out <br /> i � <br /> Tfukiltco, N:�shington, ... .... ......._... �! ..._�r...I ............._._, 19..�_J <br /> �. TO TFIB StiPL'RINTENDLA'T OF TIiE biU6ILTE0 N'ATER DISTRICT: <br /> ' I hcreby apply (o� thc usc o( watc: in azcordancc with the rulcs and regulations <br /> ' o[ thc 11u{:iltco �1'ater District. <br /> �, During thc timc d�at anp of thc �en�c: main5 may bc takcn up 6y rc:uon o! <br /> I any improvcmcnt authorized bp thc District in or o( any strcct, raad oe allcy in <br /> ' whici� lhcy may havc bccn laid, thc District will not bc rcquircd to fumish watcr <br /> '� during tLc proSress o( such improcemcnts �o au}• [onsumcr wLosc supply may lhus <br /> . bc tut o(f, or bc 1ia61e for any damagc for its fnilure so to do. <br /> I <br /> � Application No................. <br /> I _.. .... _ .... . .. <br /> 'Z. - - n <br /> IIbc1. ._............_ ._..__..._. Lot . . ......� � . ........_._...._.. Add.��:'G.,-.ti.�..e:_!Y'rv-r. <br /> _ , ' , ' � <br /> iho..............l / G._.`.Z.. C;. _�.'_�u..�_..�.�-r,.i_ti Strcet............_..__._.._._....--'--"_-..._ <br /> , PA [ D. .. <br /> ; _._ . . . _...._.. ... ......................__.._____..__...__._. <br /> NOV � 11963. _................__._.__. ; <br /> _ _. ... ...__ .. __..... . .__._. <br /> ��, Stal@'s��zc'of twp���Y...inch. �l�i��E� <br /> � �, <br /> '� $�`,�.0......� ...... ._ .. ..._._has becn reccivcd �eith this npplication. <br /> ...._._.._......_......_...._.._.........__...__........................ ........................_.........._........ <br /> � � Superinitrsdtnt. <br /> �� Tlic prcmises arc to he used m a._�...�.�_.——/...�_:e:�.,!.----c.....:_.__..._...._........................_... <br /> The owner of tLe premises is/.ttJ.I:....__'�+-:.C.:x..ir.LLG.:.r.s_::......................_....__".......... <br /> � The agen[ is. ....__._........._..__..._....___..__.........._........................._......._....._..._........_.............._........._.........__. <br /> � This applitation, althouGh signcd, shall not 6c 6inding upon thc District un[il <br /> a¢cpted by thc Superin�cndcnt o( thc Tfukiltco �' tcr District. <br /> �! .�j �p <br /> Signcd_. _ ._....__..?f.......__... ....�GG�..LJC=Gz-rt/....__..__......_._.....Ou�ner. <br /> Bp._�J-.'-.:. ..���_".-..�.�.-...._. ...J..-t:Z�/._...._�d y..............._........._..........Agent. <br /> ��.-�L' .i �:c� ''(�i . <br /> Acrcptrd _. ... ._ __._._ ..___._., 19. ..__ R}'._ ._ . _........_ . _........._ . _.__........ <br /> Superintendcnt. <br />