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, • C('L� �p���l'.�,7/ r� <br /> .;PPLIC.'.710N 1:0.___-- —__—� 1�CCOUIdT Id0(�—�_C.JL <br /> I'J i. <br /> �' <br /> "` tfUKIL'r�0 �d!{TER DISTR[CT <br /> ' SNOHC"•A715H COUNTY. YJASHINGI'ON �� <br /> � A�.P���C�"Eb�G�E EC.�Et ���.'�EE� <br /> , <br /> ldukilleo,Vlashington—_�"�-�---• ��-�," <br /> � ' TO THE SUPERINTENDEIdT OF THE Ml7i:(LTEO V�ATEP, D15TRICT: <br /> � I herebp opFly for 1'ne use o! water in accordance with ihe rules and regulations el <br /> � the 1!ukilteo Water District. <br /> � During lhc time thaf any of the water mains nay be taken up by reason of any im- <br /> ' � provement authorized by the Districl in o: of any sUeet, road or alley in which tney :rc�; <br /> � nave been laid, the Dictrict will not be required to Iumis}� v:ater durin9 lhe p+c�reas ol <br /> sueh improvemeNs �o any eonsumer wnose supply may thuc be cul oli, or be liuble ic: <br /> '. any damage for it;failure so to do / <br /> � Tiie owner shall be liable Coe any damages to the sexvice connection.51� � 7J (S��J <br /> pL f�/ <br /> PROPBRTY DLSCRIPTfON: �nT � ��1 C'T-r- r-!/Fr =�'� <br /> ��. .-Y,/ ,� � <br /> � �Y r� nr�' 1� l�r�e �NTC-L' C,1 ty <br /> I v <br /> o � r `/ <br /> ADDRESS: /rU((�-���v�- � - <br /> ' -- --- �--- <br /> �I '. Slato aizv of service�/-�—inch <br /> $�o� <br /> has been received wdh this appli=alio.^.. <br /> � The premises are to be used as a�1-.1-�^ '��r._�+.:�_���,_ _ __ <br /> �� � � � � �' � ^ <br /> The o•.vne:al iha premises is���t� "?�E�t - �C�^-� � -C==''�'`'F �"='— <br /> 7'hc a9er.t is <br /> � � The DicVict recommends instcllation oi a pressure regolating valve. <br /> Applicani ac}:ncwledges inlo:matlon as lo ihe recommendation and . . . <br /> Agzecc�o insfall¢pressure regulating�alvc <br /> Signed --- <br /> ' Dedines to in�tal�y ressure re/g'uipl/in ive <br /> SiSnG��!�� f� !�`�j�..E�—_ — <br /> -, If is undcnlood tliat alI connrctians,includ�g mctcr�nd mctcr bos shall ttmaia the p�opecry o( <br /> � Mukiltco Natu DQist[r'i�cyt. Y � � <br /> ' � k"d � G 1.d / � �� �c-�— Ov:ns. <br /> � Sianed _� ��--^�• <br /> ��{N 2 ? 1985i,a��s ,��.�vr� 41nr ST_ �-J — <br /> tJi11Y,14T:0 VJATER DIB; �� �"""`� ^ G ��''�'`' - h9�"` <br /> � r Address ���� � �-�b�S — — <br /> � Q ' i <br /> ' TOTAL MATEAINLS COST l�b, �V � J <br />; � 5 v <br /> FOR OEFICE USE ONLY: <br /> DA7E COMPLETED <br /> � - I V <br /> , 3�/s 3'1 �.`i b — <br /> POST TO ACCT NO. <br /> ------_� <br />