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�� - <br /> _�.,� i <br /> TapNa.......�........................ � <br /> MUKILTFA WATER DISTftICT � <br /> �SNOHOMISH COUNTY, WA9HINGTON ��t� <br /> (�`. ��_n� � ' 9 <br /> �'�APPLI�ATION FOR WATER � <br /> � �,0� All blenks muet Lc filled in or crossed out <br /> a��\�.� i <br /> \h�kilteo, Wnehington� ......................................................... 194........ j <br /> 'I'0 THE SUPliILIN7'EP•DF.NT OF THE TfUKII.TEO WATER DiSTRIC;: <br /> I hcreL�� :qiply tor the usc o[ wnlcr in uccord�mcc with thc rules end regu- <br /> Intions of tlic 9lukiltco Water District. <br /> Durin� lhc timc thnt v�y ot thc uiitcr maing mny bc U:ken ❑p bY reason <br /> o( nny improvemcnfs uuthoriz.ed by lhe Ris!rict in m• ot nng street, road or <br /> allcy in �ehich thry may hnee bcen Inid, the District will r,ot I�� required to <br /> turnish e��der durin�; the pro�res� of such impro�•ementa to �my' consumrr whosc <br /> supply nm}' tlws bc cut otf, or Irc liahlc for m�� dnmu�c tor its fnilure so tn do. <br /> dpplication No.........._....................._ _.._ ��•'� �.�_o-�� -'� "`i��-s�-Cc"�i/ . <br /> ........ <br /> "'— ✓ <br /> Ulnck..............�� ............... Lot.........r..Z...�............... AJd............-;..._.___.._...... � <br /> /`. <br /> Na................................................... .........� __Strect ._.. ._.__...... _...... <br /> ....................................�. ...:''�f..�1�...�'......l.D10.1...�q.k.o.�-�,..t� <br /> .. ........ ..... . . <br /> � / � <br /> ..... .._... ........ �..................... ._._ . .. . _ ...._.. _......... .. <br /> .... ,,.._... <br /> _ � , /t�r,. <br /> �, i Y . <br /> Stntc Fiu Qf q�p! .....................inch. � , % <br /> � pY:;'. <br /> $..........�:.....\.............hua Lcen nQPie.d ��' i lhis npplicaLion. <br /> ............................................................................................ � <br /> Superin(andent. I <br /> 'Phc pretnises arc to bc used ns a............................._........... ._................................ <br /> 7'hc o�rncr ol thc P�emisec is............................................................ ...................... <br /> � � , � <br /> 'r -, '_`ta'� �' � ... �C�l_s�- E / O <br /> Thengent is._.._i_.. . ............_..._....... .C..._r..� .................._...............:{.................. <br /> This npplicntion, •Jthou�L signed, shall not lie binding upan the Uiattict <br /> witil accepted by ihe Superintend�mt of the �Sukiltea R'nterDistrict. <br /> SiKned.CR!'C'.`.�.....�..�..��............................A�uucr. <br /> B�-+t7...��..-t't�.........................AJ�ort. <br /> .lccepled.............._....................................194........ Bp.............. _........................... .... <br /> .........Superintendeut � <br />