10116 HOLLY DR 2018-01-02 MF Import

APPLICAT i 140. I1. - —ACCOUNT NO46'�-�0 r� 0 ®' MUKILTEO WATER DISTRICT SNOHOMISH COUNTY. WASHINGTON �QG APPLICATION FOR WATER 1 1 Mukilteo, Washington ac.L,7uST o2 19 TO THE SUPERINTENDENT OF THE MUIGLTEO WATER DI TAICT: I hereby apply for the use of water in accordance with the rules and regulations of the Mukilteo Water District. During the time that any of the water mains may be taken up by reason of any im- provement authorized by the District in or of any street, road or alley in which they may have been laid, the District will not be required to furnish water during the progress of such improvements to any consumer whose supply may thus be cut all, or be liable for any damage for its failure so to do. The owner shall be liable for any damaecs to the service connection. PROPERTY DESCRIPTION: Sys e-t? t P I A-r IS RA(gCRO _TPJ T eRCITY NO. 3 C �� ADDRESS: State size of service 3 inch $has been received with this application. The premises are to be used as a�— The owner of the premises is The agent The District recommends installation of a pressure regulating valve. Applicant acknowledges information as to the recommendation and . . Agrees to in 1elLa pressugaggulgAg valvyr n } RDeclines to install a pressure regulating valve Signed It is u ders o t tall connection lading meter and meter box shall remain the property of Mukilteo �kie l r corer �� f//j AUG 2 lr/ tSigned � "" * �=rir^" , Owner :JC Address 1P() WAVER,l V t,/ MUKILTEO WATER DIST i12KL.Aub, A R 033 By _, Agent 8 Address — TOTAL MATERIALS COST FOR OFFICE USE ONLY: DATE COMPLETED POST TO ACCT NO. 21S I9 C-.'i _ RK ORDER NO. E-27�5 OR METER CHANGE ONLY DING NO. DING I. NO. REPAIRED ❑ QUIPMENT RENTAL NAME COST .-2,— 1.56. -K 10R TOTAL EQUIP. LABOR COST TOTAL LABOR COST I s - TOTAL CHARGES ' �' ADD / Y%OVERHEAD2' TOTAL OVERALLS o'- • a� CUSTOMER CREDIT