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' � y�,!� <br /> e:: �� � Tap 10.._.'7..� .. ._...: ...._.. � <br /> � ' ?JIUKILTEO \1�ATEP. QlSFRICi <br /> � :4040L5ISH COUIJTY, VlqcHINGTOIJ <br /> '� � <br /> -- �;a�. <br /> r;PGLICAI'!ON FCR �N/a.TER <br /> :111 LI:iuLs must bc fillcd in or crossed ou[ - <br /> - \t�.i.:licq 11'nshington, ......... / �� 0.Y'....._�i ... .._.. ., 15 G•3 <br /> �:'p TIIti StiP!:RI\TEV'DE�T OF TI3C TSL;6II.TEO 1VATCR DISTRICT: <br /> ' I Lcrrl:r a;q�i� fnr tim use of �vater in acmrdn:im wi[}� lhe rules and regulati�ms <br /> ni tiic 1fui:ilteu 11',tcr D'suic:. <br /> Juring tLe tinic �liat snv of tLe watcr rnaine may� Ur takcr, up Up rcasoi� oC <br /> :utv improvement a�.rt6oriaed b•,� the Distric! in or of anc street, ruad or alley in <br /> iv}ucn thc}' �r��+3' hmac Lu^n laid, thc Dir.trir' will um Lr rcquircd to iurnish �catcr <br /> d��rin5 thc proSress of such improvcmmnt� �n :r.ic riirsmnrr v:ho;�. ..upply mac tLus <br /> br cut oCC, or br linblc (�cr� damacc L � io i:dion- vo �o d�;. <br /> � � � <br /> Application �o. ..�. .� .... <br /> $E�;/y�.�1yc' 1� � . ' � / -/ <br /> " ❑IUCI . . ..... LOt ....... ..........._... A�t:. 7�Grt..E.��C....��TG.ci/IL <br /> ��� •�•n� �"� ..._..(. <br /> i�. IISC) Y �ii- l 7l. <br /> Ka. . �`l" ...... StreM .. <br /> F'-o./!Y SSr-r ✓e. <br /> �o G-f-3- �-�-�z=�-., � _ <br /> /o,S �S E���Pr�-, uJas!� � <br /> Staic sim of tap: ..__......�......+�.... indi. <br /> : ���7 / � <br /> .�!'�� �liaa Uem reccnid �cith iliis applicatiou. <br /> i � <br /> /i� <br /> i ...__..... .._.. ..... <br /> i �i d <br /> /; � / Su)n:ntrr.dcn! <br /> 7lm prc�mses ��� 6�� uud es a.. � ' Un.�" � � �e/� ^.9�_ " <br /> TLc owncr of dic prcmiscs is __,./'!I �TO.h_ M• YQfe$ � <br /> ....... . ............. _._. <br /> 7�Lc neult is _.__ l.n.�(i.U./1� C I'.....�'- C..�/'O,?.��! <br /> . . ................ ....._...__.. <br /> 7'his applica�ion. altLough sipned, sliall not Lc binding upon thc Distri[t until <br /> :ircrptv.l 6c ti�c ;uperintcuden[ oC lhc Aful:ihco 11'atcr Distriet. <br /> Si�.�ucd.... . .......�i �7���O/.�rl...._ //i/, �G.TES....._......._.Omner. <br /> Bp....... .. .. ......._.... . . '�!. '.....--r.`„���¢�C-�J....._.__.......Agrnt. <br /> Arr��pc•« . ... .. . .....� ffl . . B�' ... .. . . _ ....._. _.. ..... <br /> .Suprrinfrr.�irnt. <br /> �— ti �""`'3WZ��'* �"` �.,� .i� 'e'�" _ <br />