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L� <br /> hPPLICf�ON NO. ___ _ hCCOUNT lJO.O?G—O` ��u'-'-' <br /> I / <br /> � MUKILTEO WATER DISTRICT I <br /> SNOHOMISH GOUN�Y. WASHINGTON <br /> APPLICATfUN FOR WATER 1�� i <br /> Mutilteo.WasSing�on � ��' —, l9=.—j- I <br /> TC THT SUPERIKTENDEWT OF THE MUf:ILTEO 1VhTER DISTAICT: i <br /> I hrebt oppl�' for t'ne use oi wate: ir. a:wrdcnce wi�h ihe rules and t=gulctions oi <br /> . the Mukilteo VJate:Di;trict. <br /> � During lhe lime thal any o: �he watcr mains nap be laken up ry reason ol an}• im- <br /> � provement authorized by Ine Di.Lict in o: ot any street, road o: alley in which t'ney may <br /> Lave beer. laid. ihe Dist:!ct will not be requimd to iumi;h water dv:mp the prog:ee- ol <br /> sucn imF'ov,;menls to any consume: '�•nosc supplp ��cp Inw be =ut oli, o: bc liablr ;o: <br /> any damagc lo:its�aiiure so to do. <br /> The ownet shall be liable for an}' damuprs to ihe secrice eonnection.. <br /> PILOPLIdTY DESCIL1I710N. �� T 3� ��Lt L1'���n�li� <br /> C�1�.�J I� 5 <br /> ADDRESS: I U C7 / D /��a-k-t��.-- ���^--�- <br /> Slate slze o!seivice 3�� inch <br /> $ O�S�'�hac been:ece:ved witn ihis applicatio.^. <br /> 1 � (' <br /> Thc•premises are to be used as a �'�'' Q � �' �""^�" r� �— <br /> ' ` � J ; � � <br /> ?'iic ov:ne:o!the P:emis�s is .`^'�Lr`'I�L� �'�'^L� iui"t r`"`'� <br /> The aaent is — —' <br /> � The Dictrict re;ommends installaUor. o! o prescure reguleting valve. <br /> ��ppiicanl acl:nowledaes inio:mation as t�tne r�^_omnendaticn and . . . <br /> h.^:ecc to install c p�(��egul�^''� , <br /> Sinned � --— <br /> Deciirc�to install a pressu:e regulating vaive <br /> `'ianed <br /> it is undc�stood that all conncctions, includinF mcter and mcrer box shall rcmain thc property o( <br /> \fukiltco\1'atcr UistzicL —'� /� <br /> � �/ �:/f�f �i�i;J , Ownc: <br /> � Siane� " <br /> l� �'� E .� xad�=(s'" � 1 v�c� iLi �a �,� �ti — <br /> ,.� f.l\ �i C� j;i?� Bv 1 • � ..i� C�t �.� � '� r.a..1 .Z3 . Anenl <br /> `,_t, .. ., , :Address�3�-CJ`-�____ <br /> fli9��� . _. . � � � <br /> TOTAL MATERIALS COST ���, C,S <br /> FOF OF'rICE USE ONLY: TOl <br /> DATE COMPLETED — � ' `-- __ __ AD[ <br /> POST TO ACCT N0. ��''�''�`- •'�� " _ TOl <br /> /CH S?.C��� CU: <br /> � �:.y.� <br />