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'J � `, <br /> , �:: :<c _ ---- --- — „���urr r�c—. --=1' r_ <br /> MUKILTEO WATER DISTRICT C _, �–� <br /> SNOHOMISH COIINTY. WASHINGTON � � <br /> �F�P!lCa;'ElOt� EO�R lAF�,TER <br /> � f <br /> tdu<i!leq Wanhingior � -�G. 19 j� <br /> TJ T.f: �U?r:ii:!:�'1:I:DEKT Oi ?HE 1,7UF:ILT�O L','pTEF. DISTRICT: <br /> ! ne:ch:: cp,'^ :c: t7e use e! w�te: ir. ccc�:dance wiln tne :vle, and regulaticnc o! <br /> tne IduiiLeo V;ate. Di:t:mt. <br /> , Lcring tne fime th�t ¢ny oI ti�e water memc mQp be taLer. up by recso:. of any i�r.- <br /> p:ovement cu���nzed bp tne D'st:ia! in o: oi any sireet, road o: alic� ir. v:nic� !:r; ^�.c;: <br /> . e been laie. the Dist-ie: will no; 5e required to iu:nish wale: dur:na uie ;� cc a <br /> ..�._: im?rovemea:c Ic any eor.surne: }:�nose eupP�3' niay �::uc c� cu: c... -r ..:�i�.-. . ... <br /> - :p d�ma9c lo:iL failure so to do. <br /> The owner shall be tiabic for any damagea In 16e scrvice connectior. <br /> i .� � <br /> � PROP6RTY DL'SCRII'TION: !-=' ' <br /> __ J /a / l f- /J ��C 5� ;"� ., C he � n�c.-r . fzr <br /> /�So7 � <br /> �,; � ,�, _- - �z iin ��,_ <br /> ; / � <br /> , <br /> !.7DRESS:�� ��.�L /�».r-„ I-,-� � ^ '�.' 1x_� _/����- _/��.,�- <br /> i./ <br /> � I�.:_.. :i..:� .<I/./� . . . /J I .� .J.a�vi <br /> -� --- -._----------------- <br /> ,--+- <br /> �icte size a:service _inch ��_ l�c,_ ;_ <br /> :J "2u LU ha;been receivec with thia applicatior. <br /> 7hc prenises are to be used es a_ ���{��t .f__ _ . <br /> __ .._- __-__-.- _ ____._ <br /> ,7 . <br /> 'i�.r ownc:o:the p:cr.iis=s is�v-. �L S S�� r_,�e� �i S. <br /> .`n' a4ent i5 / _ ___ <br /> .A:,(� (..y..L ��iC--L-ro1��,G�"r�e�: -c:�L��..C.` . -L-�_.���_ <br /> Th� Dstrict re^9'�nond; i�stallafio� o! e p:e�sure :egulcting valve. <br /> npp!icant a�l:.�'v.�led�es inlo:mat�on es tc the rc;ommendotion and . . . <br /> Agrees ta install c pres;um regulating valve <br /> Si�nec <br /> Decl::en to install c p�e;sure regulrstine valve /�/^ r <br /> Sin�ed �����Y _—--_ <br /> C � ��" �_ . <br /> h is unden.�l�d th�i all conneclions,irtLluding meler and me!er box shall remain the pmpe:ip of <br /> AfuLillco 1':mcr Oistcict. <br /> PA1D ,� /� /� ` <br /> Sianec.��,.y^� �. Qwnc: <br /> �u� � � �s�a«:%, ��� �� �� �i:�� �-� �-��� <br /> b,.__i=< < � � �l cc ,� ���cy ����.� <br /> ;. MUKILSED VJNTER Dasc::__=3� -3 –/�1�� — - <br /> I _ <br /> �%–� `' ✓ � (� <br /> TOTAL.MA.TERIALS COST ,1 /. UO <br /> rOR OFFICE USc ONLY: TC <br /> DATE COMPLETED _ _______ AC <br /> POST TO FCCT N0. _ _ ���- <br /> i:L <br /> � <br />� � <br /> _�a'', <br /> r <br /> �:, <br /> "� <br /> vvr <br />