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Tap Nc.....�j.x....:.-...�. <br /> I1�TUIiILTEO �VAT�R DISTRICT <br /> SNOIIO\IISH COUNTT, R'ASS[INGTON I/ <br /> . W `� <br /> APPi.ICATION FOIZ VVATER <br /> All blmiks must Lc filled in ar crussed out <br /> IlliikilLeq \�'ashington. ............_.........................................., 194........ <br /> 'PO TIIP'. SUYPRiNTBNI)L''NT OF TAE \fUIiILTEO Vl'ATL•'R llISTRICT: <br /> I Lerr.hc spPl}' for the use of �cnter in :iccord:mee �aith the rules nnd regu- <br /> lations of thc D1ukiL'eo R'atcr Itistrict. <br /> � Duriny; thc t.i�ue that aaip of the•:ea[er m:iius m:�}� Le t:iken up Lp rcason <br /> nf ang improvrments authorir.ed bc the listrict in or ot anc stree., raad or <br /> •tllcy in u•hich thry� may ha�•e 6cen :laid, the 1 i�ztricl �vill not bc required ro <br /> �� fm•nish �eatcr during the ProFress of such impro�•ements to an3' consumer ���hns�. <br /> ��i supplp map thus ho e�t off, or lm liablc ior uny dama�;c fm• i[s �ilur� �o to do. <br /> j :lnplication Na.................................._._.........�G,�.,,at�� .��2x�� .«� <br /> ', ,� ' ��_ • ` <br /> l' � ... Add.....�"��� <br /> �� 13iock................ ...................... I.o .........,.... , r / ..._..... <br /> .r Y.........1 - . <br /> i ' y. / �J i . . <br /> i . <br /> '� To.......................................��.. ...../.% � ,............_:.,.i..�G'ec� ..... ._ ........_ ........ <br /> ../'�.............. . . <br /> � . 1 - <br /> ...._.......... .�.. ..._.....i...................:._._......:........................_......_. ._...... <br /> � �= ' ID�oZ1..._C7a�c..o.l-�.. <br /> ................................... ....................�-........... . <br /> � , � _ � <br /> St:itc eize of t+ip: ..........�.........inch. � <br /> � LO <br /> c ;���\................hns been receiecd �vith this ❑pplicaLion. <br /> t.. - <br /> � ............................................................................................ <br /> i 9G Superir�tcndr.nt. <br /> t , C� <br /> �J, Plie�}ren �es are tu Le usr.J as n............_................................................._.............. <br /> � � I <br /> �'hc o�icrQthc prmnises is.................................................... .................... .......... <br /> � Thc.:t'sR�l is..:........... �................................_............................ <br /> ........................................ <br /> � Thi�ipplicatimi, •ilthout�h siFned, shnll nut bc Uinding upon thc DistricC <br /> u.ntil nccepted bc tlie Superin�endent oC the Alukiltco �Va[erDistrict. <br /> � �� <br /> ' <br /> �, ._....._:.'... ............Awncr. <br /> �r�'3 '�+*-a�9 ul s�s„�a......�`-.'.z.-�-l'......'-c'..:._L..:.....:....': <br /> , <br /> . -, _ <br /> ' '�� --1 ce�cu.la.. ; �. Q � ��-c`�. /,=� .� <br /> lJ-,�t"' � Bp......_�...............................................................................Apcnd. <br /> , <br /> � .�.r�;..,.,.,1�_s : � . <br /> :lcceptud....._........._..._._._....._._. ..........1!�4......_ L'�•............_.....__. ._.............................. <br /> Saperivlcndr�i' <br />