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IF�LICl.Ti0;: 1:^� ____._ %i.�� _ ACCO''I.T1;0._J-_t^ � 5 ���
<br /> MUKII_TEO VVATEr2 DiSTRICT ? �_i !,�
<br /> 5NOHOMISH COUNTI'. WASHINGTON
<br /> �;.�'r£.�C�t,TEC?F�! PGeR �tATEE2
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<br /> :Autilloc.Wcchingto.-.—�.<�.L':x___ _.—___, �4—�
<br /> "?' ^�'JFEfi:I:TCt::>i:I:T O� S'r?E 1l.U}:]LiEO Y'F.'CEH DIST�HICT�.
<br /> . �,c;c;,7 �,r.,-,!; io: :i�c ucc o! �xa:c: �r. acrordoncc w•itn Ihe mies and regulai�cnc c:
<br /> ine 1du'r.ihco L'lnter�isttic:.
<br /> • Duriny tn^ time tnm any o: ihe v:alcr mcir.c may be taY.er. up Sy :easen of any i^-
<br /> p:c:ement autno:¢ed bp the :nstrmt ir. o: e! aay s1:ee�, roao or clley ic which tney c
<br /> i�a:,. bcen laic. the District will not be reGuireo to iurn:sh v�mer du:i:;a tnr n:c�recc�'.
<br /> ::�.�_n imPro:emenir. �o am� consu:ne: whm�, supply ma}' Inu: ii.:: _... .,... �. .. ..__._ _.
<br /> . �y dcmagc for its iailurc co to do.
<br /> Thc oN�nc: chail b_liablc tur any damaFes �o thc scrricc ronncction.
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<br /> fh:`...�l�in n/�/. Cr.L �� i^_ .�'�7.i':��
<br /> ri<ore�crv oLscx�rrion:—„ �� �:-�.�= ' -
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<br /> ADDR�SS: IO? / -�"���'-=- —
<br /> 5!ate aize o:se:vi.:e_� incc _.—. _ .._
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<br /> � �?.S� "/'�" has bee:recei;ed wiln tnie a�pl�ce:ic:_
<br /> iimp:emisescreto�cusecaca_%' C" � ".--.`-`__.... __.—...._._---_. __- __.-.
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<br /> fne owae:ai lhe pre:�ises is_ ���1 ���'� —
<br /> Tne a9ent is -----�— -
<br /> The DL^trict reccmr.�enos :ac1a1'.vtior. o! c 'rrecaurc regulatinq •�alve.
<br /> Applicenl ad:r,owledge� inio:mation e.^, lo the recon:men6ation ar.� . . .
<br /> harees to instali e n:ecs�:e renu)ahr,a valve
<br /> Si9ned—_-- _---____ __—'___.
<br /> ileclines to irslal,c.�yr��uure re ad un9 vp'�i�._
<br /> Si4ne� ' (.{1,.�; � /'� l !j /� h✓Z: ___._
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<br /> It is unJcrsiood 1ha:'111 ronncctinns,includin_� mctcr and meic� box shall remain thc pro�^ny ut
<br /> \lukillco 1Yatcr Distri_t. �i � ;� �
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<br /> P a� i a S,Q��a_�� ��..�� �i� � , - ,%',—= �.,.,,,.
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<br /> .�U� �� ( ,� na�rc;� �.�% ��/6 -i/' v�"� ,,,,f'��T.,—
<br /> � 197;,
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<br /> MUliIL7EQ N'AicP 01$Tr -�_�-, � ?`,(L_———-----_—
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