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.'r`.1'�.`.'Tf7'.:O ^ `'�'—' ACCOUIiT I70. ' �'_`— ' � � <br /> ------ �- -.— � <br /> MUKILTEO Ne�ATER DISTF'cICT <br /> SNOHOMISH COUNTY. WASHINGTON / � / <br /> V/ �--U <br /> A,PP�,IC�'tFEc�� F�R �1l�,TER <br /> 2du[il�co.Ylashington__—--l--`7 G-. 19 d 7 <br /> jO �CHL �UYI.AII�T:�1DEHl OF THE If,Uf:ILTEO Vil:itt? DISTnICT: <br /> : ne:eny apply �o: the uce o1 waler ir. ac=ord�nce wilh the rules a-�d :egulalions o'. <br /> � Ihc S".utill�o Water➢�slrict. <br /> Durir,^y ih= time :n�t any o; the •Nate: mains may 6e taker up by rea¢on o! ar.y im- <br /> pmvemen! author:zea ny ihe Distnc! ir: o: o: aa� ctre_f, road or ciley ir. wnich tney r.icy <br /> ❑�vc been lai�, the CasL-ict aill not �c required to lurnish walc: da,-ir.q the P'��m_c oi <br /> .,cci: �r:.rovemenis lo any consumer wnose supply may thus be c�: o!i, or be Le�ir ic. <br /> �;i; cia;nc7c lor it�iailu:e so to do. <br /> "I�he ownei shall be liable for am� damac-s Iu !he service connection. <br /> � PltOPCRTI' DESCRIM'IO:V: � �� `�' - -- <br /> S %`' icG !� /k �/ ,.�"<. n � � o T„yr , �, � <br /> - ' ' ° =2' -- <br /> ;.n�a�ss: � G S v � /-�v //� <br /> State siz�c:scrice � i�eh -Gy�ti✓_. <br /> $�•L'C:nas been re��ived with inis applicatio:.. <br /> i^o p:emises arc to be used as a��7 /�X ___. _.__ _--- <br /> ,� <br /> Cl;c owner a!the prenises is � 4_/C� �S S U C� � �F S <br /> �ho a9en: i= —/ / /� --- <br /> �i� �F'.'�e D�� rq�n�in�lalla��c�re su:�dlaUna�lvc. <br /> hpplicent aqS:now9edges ir,lo:nahor. as to the :eco�am.end¢von and . . <br /> i�c;ees to inetall'c p:ecsure regulatin5�a��e <br /> Signed --- <br /> Dedinec to in��taflly r•ecsure re�p+ulahn9'+alv� <br /> Si��eC :'�/�/� /�.f� �t � ._ <br /> %����� <br /> It •s undc�stoud ihat a11 corincctians,includinF mcter an mctcr bor sh�ll mmain thc propctn'n( <br /> 1fuCilteo 11'atcr Disvict. <br /> PA.ID <br /> Si9ned _ _. Ov:r.c: <br /> JUL 20 1967r.d=:�,� /ac•ci lti�� � /,:.,�� ��,, L%� <br /> F,. !;.: , � �- ���� ��. <br /> MUI(ILiEO WAicR DISt ? <br /> : hddresc_ J � � —��-1-� . _. <br /> I _ <br /> �!�� ' S � f <br /> TOTAL MATERIALS COST j��-'� <br /> FOR OFFICE USE ONLY: T6i <br /> DATE COMPLETED __ %^�� <br /> POST TO ACC? NO. _ TC'' <br /> CU: <br /> ..__. ..--- ------- _ ._ .. .__ . ._-_--- <br /> 3�., k G <br /> .. .� Y..y,-� . . .y. <br /> y '. i v <br /> �.�'�'u.._w`S� #"'�°:: _ <br /> �� _ . <br />