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10125 DAKOTA WAY 2016-01-01 MF Import
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10125 DAKOTA WAY 2016-01-01 MF Import
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Last modified
2/12/2017 2:15:40 AM
Creation date
2/12/2017 2:15:37 AM
Metadata
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Template:
Address Document
Street Name
DAKOTA WAY
Street Number
10125
Imported From Microfiche
Yes
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, . —__--_ '". _. ' � , —j__"— _.__ " ' ___ . '_—_ —_"—`_ _— <br /> `�/i� ,� _��� `.C/.ri�' i <br /> Tap No.......���....-:..ls <br /> MUKiLTEO «TATE� DISTRICT <br /> ` O SNOHO\IISH COUNTl, NASH@'GTON �� <br /> p P � ,953 <br /> `t,�,yA-���,,�'ATION FOR �VATER <br /> . ��i�.� �111 Llunks musL bc filled in or crossed out <br /> M�� - <br /> ,i \fuL•iltco, Nnshinf'ton� ......................................................... 199........ <br /> TO TIIli SUI'PRIN1'EATI)I'sA`T OF TfIE :IIUICILT�O �t'ATER DISTRICT: <br /> �, 1 Lcrebp :ippl}� Cor thc usc. of ��•atcr in accordnncc witl� thc rules and regu- <br /> � lalions nf thc �lul:iltcn R4der DistricL ' <br /> ', Durin�; thr time tlmt any of ihe ��•:itcr m:iins may Le tul:en up by reason <br /> of :my impro��ements authorir.ed 6p tLe District in or of nn}• street, rond m• <br /> � :�Ilc}• in wliich lhct• ma�• ha�•c bcrn laid, thc District �vill nct bu rcquircd to <br /> � furnisli �catcr during tLc p�•oFmss ot snch impmecments to an}' consumcr x�hntt <br /> I supph• nu��� thus br cut off, m� be IinLle for nn}• dmr,age fw� it: tailure sn to do. <br /> I �Ppticatimt;w�.'.��........................... r�'c'`��-�/ <br /> , ,��1 �/ <br /> 7 �- Z <br /> lllocl:.................�................. Lot.........�.uG............_........ add.!._�.:.1......................... <br /> No....................._.............. Strect�ll.u.:-::�c�:li...^-�c, <br /> . ........................ ................................ <br /> 1 � � <br /> ............�..�-.I.�..S... .....�QLKQ�..A....���.................................... / <br /> .............................................................................. ........................................................ <br /> � �. <br /> Stute size o[ t;lp: ...._��_........inch. <br /> / y�P r <br /> yS............l.C��....\...........ha� been receivcd �vith this applicntion. <br /> ............................................................................................ <br /> � Superinfendmd. <br /> � Thc premises arr to Lc used ns a......_...................................................................... <br /> The owner of the premiscs is........................./........................._...../................... <br /> , / � � (� ,�� � <br /> �4��.� � c�--c�--� <br /> TLc a�ert is_......_..'.............._.�c4.`..�.`.`.'.�......L�=ccC:-:::;............................._............. <br /> This LLj1�1I1C:It1011� 1I�IIOl14�� siFned, shnll nut Uc biudinF upon ihc District <br /> wriil occepted Ly the Su7rerintendent ot th/e/�1id:iltcu ' terDi rict. <br /> SiFncd��_�t�Z�2."..-"'Y'..- ._.... .. .. .. ............... ......OJc.ncr. <br /> Bp..............--'......................................................................:1 r/e�it. <br /> .-lccepti�d._............__............_....._............tP.1........ L`c........_..............._.. ...._......_.............. <br /> S+�prrixftndcnt <br />
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