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10119 DAKOTA WAY 2016-01-01 MF Import
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10119 DAKOTA WAY 2016-01-01 MF Import
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Last modified
2/12/2017 2:15:10 AM
Creation date
2/12/2017 2:15:09 AM
Metadata
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Template:
Address Document
Street Name
DAKOTA WAY
Street Number
10119
Imported From Microfiche
Yes
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- - _ - ; <br /> - - - - � <br /> �y —/ <br /> � Tap No....'••a_•�.......� - <br /> t <br /> , Q F' �n2U:FsILT�O ��TAT�R DISTRICT <br /> � - �SNOKO'�11Sii COUNTT, R'ASI�INGTUN �� l <br /> �� _ <br /> �>�1pPLICATION FOR WA"I'ER <br /> . A11 Ulnnlcs muat bc filled in or crossed out <br /> . . . .. .. 19d........ <br /> T!i�kiltco� Wnshinfiton. ...................................... .. .... ..... <br /> TO TI�� Sl1I'liRIN'CT::�T•L�PAT7' OP TI�E ilfUIiILTEO R'ATER D1,�'1'RICT: <br /> I herebp �q�Ply tor the use of u•nter in accord:mce «'ith thc rules tmd reFu- <br /> Intions oC thc �lukiltro �Vatcr Pistrict. <br /> Om�in�; thr. tinn• t6aL anp ut thc o'ater main= mn}' bc t�ken up L}• tt:�snr <br /> uf :mp imprnvements nuthorized 6�� thc Ilistrict in or of anp strcet, rond or <br /> •dley in ��•hich lhey nv6• h:ive been l;�id, the Uistrict u'ill not Lc requir��d tn <br /> supp�lp�m:�t tlms hc eit��off, orrl�G liublecfornnm�d m�a1�c for its fllurn��� to��do. <br /> ApplicLLian No.........__.................................... -• �� y <br /> )cr�-,.� <br /> lllad:.............................�.�.......... Lot...�.....�7............... ........ <br /> aa�i...........__..� .... <br /> �o...:................................................................................... <br /> ........Street ................... ........ <br /> .......L..Q.I.�..9._.......�a..k.af�,.. ._VJ..�,J......................... ...._..__ . <br /> ..................... ..................................................... ....................... <br /> �/ ,, <br /> St;dc sizc o Wp: ........�y..........inc6. <br /> $.........U'.G�.._.._.............has Lcen rcccived ��•iili this apPlicntiun. <br /> .............._�.................................................. <br /> .. Tho n'enttses � /, / S°t'criid.cndent. <br /> �'. ' . . � ................................. <br /> . � trc to 6c used as u............................................. <br /> The on•ncr of thc premises is.............._..............................................................._.. <br /> . ......................... <br /> Thr. agent ts........................................................................._................ <br /> This applicntion, althouFh si�;ned, shnll not Uc Linding upon tlic llistrict <br /> i:ntil accep�ed Lc the SuPe*intcnder'. �f tLi• Alukiltco R`aterDistrict. <br /> Sis".ncd........................................_.................................................Oirnrr. <br /> Bc............................ ........................:1 p rn f. <br /> •--'................................ <br /> .._......_...._.._..1!�.1.__... Fip......__..._..... . ._.... ....._............_._.. <br /> Aceepted..___..........__...._ S��pi����nrcndent <br />
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