Laserfiche WebLink
� � <br /> kPPL1ChT10}: IdO.___Vl h _____ .. _ nC�OJI;T ]L.:J,���_-/'�/,✓�i//c �/ <br /> MUKILTEO WATER DtSTRICT �� <br /> SNOHOMISH COU�JTY, WASHINGTON <br /> � ���1 tK ORDER NO. �� ���� <br /> � A�PPl.�C�1.YiO�N Ff3R WAFER = 7-%9- �S _ <br /> Mukillco,VJachingtcn ?' ��, 19 o S )R METER CHANGE ONLY <br /> TO TH£ SUPERII:T'ctdDENT OF THE IAUY.ILTEO �7ATER DISTAICT: <br /> ( nerebp apply !o: the uce ot wa�e: in accordance with thv rulec and regulations of <br /> the T1u'r.ilteo Water Districl. )ING <br /> Durin3 lhe time that any of the water m¢ins may be taken up by rea;on oi any im- � <br /> pmvenent ou�horired by �he Disfric� in or of any street, road or alley in which tney may <br /> heve been laid, tne Disirict will not be required to fumish woler du:ing the p:onres; o! <br /> such inorove:�er.lc �e anp concumer whose supply may thuc be cut of!, or 6e !ianl� io• NO. <br /> any oa:n�gc fo:iL•(oilure so to do. <br /> l'he o�ener xhall be liable for an_y ydarpagcs to the scrvice connection. 7ING <br /> PAOPGRTI' DESCRIPTION: � /,G� J '�� ��7 ( ��0� .NO. _ ___ <br /> • REPAIRED 7 <br /> �G /�� '���� � ��� �UIPNENT RENTAL <br /> ADDRESS: NAME COST <br /> State size o!service 3 `f incn <br /> 2 �/•SC <br /> d0 <br /> S � '� C' has been received wit thi^application. � � CK <br /> 7 ne premises¢re to be used as¢ � J•� CL'� r � <br /> I � �� � �%� <br /> The ov.•ner of!ne premises is�G r� L�-'� — <br /> �� � q <br /> The agent i� �/' �5�� 30R <br /> The Dstrict recommends in��allation ol e pres�u:e regulating valve. <br /> Applicant ocY.nowledge, information ac to �he mcommendolion and . <br /> Ag:ees to inslall c pre;,ure regulating vatve � � <br /> Si9ned �� <br /> TOTALE�UIR � •-� �- <br /> Deolinec to iaslall�a, re;cu�r��e regulaling valve �BOR <br /> Sionec�iS���G.� _ COST <br /> it is unJctr�stuod hat all conncctians,induding mctcr and mctcr box shail rcmain thc property of 1 <br /> nf�i:�n�''ti��: r� i. �/ ` i G�k:'r . 7� <br /> Signed%�.'�-��-���� <br /> JUL 1 � 19B5 //'// , o"'°°` nQ%i s l !7 7� <br /> hddress_� � • ��L'� Y' T' �-^ .. <br /> MUViILTEO WA7ER DIBT q c���� <br /> e�[.`�i,�LZ , Agen; <br /> � hddre,s <br /> I <br /> TOTAL MATERIALS COST �r'�� / TOTAL LABOR COST j� •S� <br /> FOR OFFICE USE ONLY: TOTAL CHARGES _ _ ��`7• �'�^ <br /> DATE COMPLETED ADD J �L 90 OVERHEAD ��` �• �p� <br /> POST TO ACCT NO. J`�� 7�. 5 G� TOTAL OVERALL _ �7_S. O ,� <br /> CUSTOMER CAEDIT _ <br /> r� <br />