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F3F�ICGTI'�l; ti^� '-�-'-' _ _ __ _ ACCOUI]TIJO.C'�=i- /i-�`-Ls��G L <br /> MUK.ILTEO �NAlt.f�2 DISTRIC�' C �,�� <br /> SNOHOMISH COUNTY. WASHINGTON <br /> Q.PPLlCQT�O�t FO�P 'VI(A,F�? <br /> tdul-ilteo,Wachington _�� ` � `� , �g�_L <br /> TO TY.0 �7?ERiL'i�NDENT OF THE MUt:ILTEO V�hTE'r. DISTRICT: <br /> , I ne:eby epp:�; io� ine use o.` wate: in accordonce with fhe rules and regula:ions oi <br /> �ne Muciliuo\:'ate:Listrict. <br /> , During tne time Inc, ar.y o: the wate: mainc mag b� taker. up by reasor. ol any �:n- <br /> ,ro���ment authorized 'ny tne District ir. or of any cireet, road o: allcy �r. v:hich tn�y r.�c? <br /> n��ve beer. laid, ihe Dictrict will not be requireri to �u:nish wate: dure:G Ihc pron:a�c ci <br /> :.uc$ improvemenL lo any con�umer whosa suppl� map �hu� b�� cu� ci!, �r b� !:c:,io ic. <br /> cs�dama?c(o:iis lailu;c so b do. <br /> The ou�ner sl�all be luble fot any damages tu li�e service co�:;ca�u��=.- <br /> i� � � � <br /> PROPPILTY DESCRICIION:_ ^C T � � / <br /> _ ��'�-_�-"-�`-�-�-1 ��.I�i�� 3 7S �i�� -a';- '_ <br /> S� / -� <br /> '�.DDiiESS- �U �� /�`c ) � /J r <br /> ��__ -- <br /> _— .i ___ — — <br /> Smto:�:=..c::���:vice inch <br /> ;�y-�d '.�'��' has becn reccivcri with tnis upplicatior.. <br /> ?in,premises are to be used a.s¢ L/:n.,O�� X <br /> —� _-_ . / — <br /> n <br /> "nc ownc:o(tne prenisea Is � �'+- � S S� C _� _ 7 r S _ _ <br /> "ire aqent is �/ ;-y- / � J <br /> � -.h /.Lvt .i C.c.f�-rv--//. .�Y`^-K . tfc11 . ... _ i�� <br /> � �ne D!�In�' ommnn�� m�l�llati9n o! c pressurc regulating vaP:�.� <br /> App!icant _�n��t inie:mahor a� to the :ecnm�end�tioc a;d . . . <br /> ?.grecs to install c pre;sure regulatinq valve <br /> Sia:i^d <br /> Declines Io ir.stoll c�ressu�regulating valve. �_. .. —�--�--— <br /> Signed. ���� !_Y-- �-� i� % _— —.'___— _____'—_— <br /> � � ' <br /> f i . . ; <br /> It is undcrstood Lhat aII conncctiuns,induding mctcr and mctc� boz sLall rcmain thc pmper;y o� <br /> 1lukiltco W'aicr District. / _. .-, <br /> � � � i ' r <br /> �� <br /> P �{ � 1'� Signed��/���•'� -�'�` _, Ow:�sr <br /> i � � ' <br /> Addre /d(c D/ Gv'.: t li.�n 9 �:r I.CJa.�. � <br /> ��I�:C 1 • 19B = �--_�-_�_- <br /> �y��. r.-� Ttc r-P `l d'�-G�� hn�:: <br /> : 'q���;ILTEO VJAT:Ii D,✓Ladrese J�SJ — / �r�l_�_ <br /> T07AL MATERIALS COST �/ ��. �I�� <br /> rOP. OFFICE USE ONLI: TOT, <br /> DATE COMPLETED ____. _ ADD <br /> POS7 TO ACCT N0. _ . _' U S � U t�' TOT� <br /> --- — CUS <br /> '�: <br /> S <br /> ' j. <br /> < <br />