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„-�;,n.�=,�; rro ---/ r�� __ ncccu�:°�c�_�'� <br /> f--- <br /> MUKILTEO WATER DI�TRICT <br /> SNOHOMISH COUNTY. WASHINGTGN �'—' � ^ ? <br /> G L— l:� <br /> ��PP�ECAYEOt�@ FOR W�,gE6t <br /> �!-�2 I�' <br /> Mukilleo,Wachin�ton ---- .]9— <br /> TO THE SUPERIh;1'ENDEIrT OF THE MU}�LTEG F✓6TER DISTRICT: <br /> I hmeby apply for the uee ol water in accordance with the rules and regulations ol <br /> ' L�e Mukiheo Wa�er DisL-icl. <br /> During the hme ihat any o! the waler mainc may be Ickea up by rea;on oi anp �m- <br /> ' ��:oucment ovtnorized by the Dstrict ir. o: u; any sireel, roac o: alley in which �hcy may <br /> i.�ve beer. ia�d, tne Dic7ict will not be required to fumish wate: during the progre;s o! <br /> _�,.ec �m�:avcr,i^:ds ic any consumcr whosc supply may �hu� 6c cut oil, or be liablc ia <br /> any damage for itc laiiure so to do. <br /> 'Phe owner shall be liablc for any damages to the urvice connection. <br /> . I'ROPCILTl' DESCILIITION: �� � �� <br /> ('� ` <br /> ��`� ��r.j ��_d� <br /> ' �� � � <br /> � � --�F-- <br /> i�.DDRESS: �L� G _ .� , % C Y r �- � n�:� . _ r- <i+,c�r[ . ��. <br /> FV !Y -C '�J �- <br /> Siate size o:service�inch <br /> :-�!,�' ��, C'�h¢c been received with lhic applimtion. <br /> i iie premises are ic be used as a ��K�”/� X .- <br /> i ii��ownc:ot thc premises ic <br /> '"i:c aqent i. ___�_ • <br /> i <br /> �-� /�.y�� w..�I ��-.!�z2�.��a, �7G� _�. <br /> '[���e Di�trict reco menac installahon of ¢ pr cdre regulating valve. <br /> .r+pplicant ackn ledgec in:crmetion vc to the mcommendation and <br /> nrrees to instalt c p ssure re4ulating valvc <br /> Signed <br /> _�cciine�to ins }1-e�pressure re 1 � g va1�eL <br /> Si9ned � �.�j.�( _ .. <br /> It is undcrs�ood that all connections,ineluding mcicr and p bos shall rcmain thc propert}�ui <br /> A1W:iltco H'a�(7 I�'stii� �� j <br /> I ned "'�--�i / , , Ow�c <br /> � ri <br /> �P R :, .. 19�ar�,� SS'/ i z `/y/� S7`� <br /> �n���:ILTEO VJPTER '��ST /�� n , r �� i.;ir' Gd����� 6pc:�: <br /> C Address_ ��-� � � `-- - —. <br /> �— <br /> �/ � ;� 7) <br /> TOTALMATERIALSCOST 7p� ���� <br /> r <br /> FOR OFFICE USE ONLY: TO <br /> r <br /> DATe GOIdPLETED __-.— __ A� <br /> :'O5T TO ACCT NO _ T�� <br /> - _---- ---- CU <br /> __�-_ . -- ---— - —�- - -� -- - �. <br /> � r <br /> Y��yd: I <br /> A�r�a �T- <br /> ... ,..t .: . . '.v._. •. �• ___.-...a.. : . . _.. ,... .. . . ..... ... .A . . .. <br />