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.PPL1ChT10N NO. J7�9/�O hCCOl1t;T 2JO.�G '/ �'/.'r��% ' <br /> K <br /> MUK(LTEO WATER D15TR1CT ,; <br /> SNOHOMISH COUNTY. WASHINGTON ---� � / <br /> G �' I� tK ORDER NO. �"Y`�� — 7 J��J <br /> APPlICATIO�N FQR WATER = — '� (a ' �� <br /> Mukillco,'�:^:hing:on // � / r , 19_d�. )R METER CHANGE ONLY <br /> O TH� SliPERiNTENDENT OF iHE M.Uf:iLTLO R'hTER DISTAiCT: <br /> ! he:eSy oppiy lo: ine use c! v.ate: in acarc�r.ce with th� rulec and tegulatioa. o! ��NG <br /> ic 1.lukiltco Wate:Distric:. <br /> During tne fime Czat cny ot :ne wcte: mcins may be Iaken up by reason o! any im- <br /> rovement ¢utnoriced ay Ihe C.strict ir. o: ol any :treet, road o: clley in wnich they may -------- <br /> ave 5�cn Icid, the .^,istric: �aill not be reqvired to furai:h wcter du:inC the progress oi NO. - <br /> uch improvemeat� to any con.una: x•hose cupply :ney tnu; be eu: cl:, o: be liable fo: <br /> ny dcma�c!o:ita lailure so to do. <br /> DING <br /> 7'he own:r shall bc luble for any agu to the urvitt connection. � <br /> ROPERTY DESCRIPTION: �� � S� � �-' /— / � NO. ___-_---- <br /> REPAIRED ^_ <br /> - / �f, <br /> �UIPMENT RENTAL <br /> .DD�.SS: /O�� � �'-E'�,.� NAME COST <br /> � �.c'G <br /> +a�c:i:e o!sc:ricc y inch S '� <br /> � ��..�. ���' �- ( ;K <br /> —has beer.recaived with�hia applica7ior.. <br /> .�e premises are to be used cs,e�, ��J �-'�T?�/'y,�� � �� / <br /> "nn ou•ne:o!thc rremi:es is (� �C.L�Yl.-�'L(�� 7 �����P�� l�0✓CL4� <br /> �.r3 ' �,.7 ' OR <br /> n� o;��: �a , G G <br /> ��-� ��� n:: �r�� e�., <br /> Tne Dir::ict reqm. _ndc in.teilction o( a prnc;ure te�uletin� v�lve. <br /> npF!icent acknowledges in!o:motio.ra� to'ihe reco:anendatier, a�3 . . . <br /> _ �es to in:t�ll a ptessute ic3ulotiag valve�i' <br /> ^� S�gned:� u � - �'''���� , �•�� __ TOTAL EOUIP. L. C� C <br /> cdiao:lo i.^.stall c p:en:u:e regulating valve �BOR <br /> �;a;,�.: COST <br /> It is undcts�ood that cll conncclioru,induding meter and meter bo>: shall�emain the properly of I F � /fi �,`, <br /> n��:m�o x•���y�`f I�?' . � <br /> ,,_ ,�•,._ ' � . <br /> � �9��ned �. �J • .i. 1 �,- �.' - t� , Ownc: <br /> IJOU � �i '��/c G�c.�:%t�c.cz; Z�.'r�.T <br /> ;,a�:�._ <br /> h7UKIL7E0 Y�ATER [t�ST. �l�.��� ,�i ,�?C � � , tiQ�,: <br /> S hddrecc <br /> I <br /> (;C •C'S) <br /> i <br /> TOTAL MATEflIALS COST �C• S � TOTAL LABOR COST �� ���' <br /> FJn 0'rFICE USE ONLY: TOTAL CHARGcS C' �' 'S�— <br /> DtiT'c COMPLETED __-_ .__ _____ ._--___ ADD 4 OV'eRHEAD _____._ <br /> POST Tp ;,�C; NO ._ __. _ TOTAL OVERALL . <br /> . -- ---- -.--__-. . _. CUSTOMEF CREDIT <br />