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C�` <br /> - ,v?LICR.T(OII I10._ `�? '� ACCOUIIT IdO.��G'"C�F^�JL <br /> —�i J r <br /> � '�� t�U[�lLTEO �(d(�.TER DI�TP(CT <br /> '. SNOHOM1115H COUNTY, INASHINGTON ,� <br /> I r <br /> I !'�I.��F�Clv�l. 11V�a1�liCl �4�f�G�. �'C��B��17t, <br /> � �� ldukiltco,Woshingfon 4' ' a � —. �s�� <br /> - � � TO 7HE SUPEAINTENDEIJT OF THE tdUIQI.TEO WkTEP, DISTAICT: <br /> � . � � I hereby appl7 lor ihe use o( waler in occordance wilh lhe rulca and regulations of <br /> � � 1ho tAul:ilteo Water Districf. <br /> � � I During ihc time lhat any ot ihe waler mains nay be taken up by reason of any im- <br /> ' � � pro•iement authorized by the District in o: of any street, road ar alleY in which they may <br /> . j havo been laid. lhe Dictrict v+ill not be required to lumish waler during the pmgress of <br /> isuch impwvemenL lo any consumer who<_e supply may thuc be cul ofl, or bc licblc lor <br /> ony damage for iL-failure so to do <br /> iThe owner shall be Iia6L Car any Jamages to the secvice connection.S1� � 7� (5''��J <br /> � pl <br /> � ��� ��/+r v�F <br /> � PROPLRTYDESCRIPT[ON: ��T � [-S=°�r <br /> � r� Y � <br /> 'I �✓r G4 l�(l' �' 1'�r�,vr ife /NTc�e,�rY — <br /> � <br /> � — 0 � _ / / 7 <br /> � �� ADDPr � (5�-l7�� �I�%1! 21 <br /> i <br /> � ,� — -- <br /> � <br /> rSlate size of service—�=�—�nch <br /> � ' $�L�'e has b^_en received with this applimtion., <br /> ��� TneFremisesarefobeusedasa ��. Ji7I,Ir.��--�_�<._ _ <br /> .. . The owner of the premises is ���=�"��of� E�c't — ��1-��'-^�^=�—�—�'h`{�'-- <br /> � The ogent is — <br /> � � � The Dislri.t recommends instaliation ol a pressure regulating valve. <br /> Applicant acl:nowledges info;mation as to the recomm�ndalion end . . . <br /> . A�reec fo install a pressure regulaling valve <br /> Signed <br /> I <br /> � Declines to instal� ressure reqYp1plin ive <br /> � Signfll i� l/ 1���7 i ._,� <br /> lI[ is undeeslood tliat all comiections,ircludjry metee and metez Uox shall remain tiv:pxoperty o( <br /> hful:iltco Watc[ DQist�r"ic�y[. //J m <br /> , ku:) � A F�d' Signed � .� �—�� ' - ����o'z"^�� Ownei <br /> ; Jl{N 2 � 19Q5Aaa��,s �ac,oce 4i .�,- �� � <br /> � <br /> � IViUftIL7E0 1NATER DI3F w�h..�n 9 ���'��-J , Agen� <br /> I n Address_ ��� — L�&� S <br /> I <br /> � �._ . ../ <br /> � � <br /> ' TOTAI MATERIALS COST F�l�• �C <br /> �� $ � <br /> rOR OFFICE USE GNLY: <br /> ? - iu� <br /> � DATE COMPLETED 3a� y � <br /> , 3�/s <br /> POST TO ACCT NO. �� <br />