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i � � <br /> ._5"r:.I��7.7'IOI: td'J. � "-__ A�COUNT PG. � ���LL✓1• <br /> MUIULTEO WATER DIaTRICT <br /> SNOHOMISH COUNTY, WASHING70N �g7j <br /> — � <br /> /�!€�PlICP�Ti ION FOR WA�'ER <br /> ldukilteo,Wash!ngtor. z� � , 19� <br /> .��� THE SUP�RRvTENDEI:T OF THE tdUKILTEG J'hTER DISTRICT: <br /> - 1 nerery acply ior tne use o.` water in accardance wdh Ihe rules anri regulatior.� c! <br /> tnc t.tukilteo VJc!er Disiricl. <br /> Durir� ihe time tnat any o: the wale: mainc may be taken up by rceson ol anp i:.,- <br /> p:>vemen! au�horized 6y lhe DisL•icl in or o1 ang atreet, road or alley in which 'heg nia;. <br /> i:rvc been laid, 'h� UisVict will no� be required la turnish water during the progrec= oi <br /> _..ci. imF*ovemer.L^ to any concumer whose supply may ihus be cut ol(, or be licblo .`:.. <br /> :.:cama�c for iL-failure so to do. <br /> 'fhc owncr shatl bc 1ia61r for am�damagcs to Ihc scrvicc conncction. <br /> PH()PGRTY UCSCRII'1'IOTt: �OT C ��p)1T� Lq�T ���l�D���J <br /> � <br /> n�caess: l u��� �-U �� �� �r -- <br /> ��:�esizeolmrvice 3l_1j_inch ,')��Sa3UCyU/Ji'� <br /> ;_�L���has been recmved witk� Inis applicatior.. <br /> ^ , � (� � r, <br /> T�ne c;emises arc to be used cs c '��[t !)u -�-'' • <br /> . �' " � � �_ __--_ _—__ <br /> .:;cov:ne:o[lheP'emisesic_._LE-/�k+-'� h"IDwELS ______.___ __ <br /> i..,.. c4ent is <br /> ';ne DicL-ict recommend; inc�allatior, o! c pre;sure reguloting valve. <br /> i.pplicant acinowledges mio:mation as to the recommendation anc . <br /> h.::_es lo install c p:essure regulating valvc <br /> Siqned <br /> DedSnes to incta/lll.pr s�ure regulating �Ive ! <br /> Si4ned / �7�i-/✓ <br /> / <br /> It is undecstoJ�at all connections�nCluding metct and mctct bos shall remain Ihe propertp o( <br /> �tukiltw N'atcr District. i � . �� <br /> � '1� �✓ �� " u•ne: <br /> �� ( Signed�_�/ " _ �6 <br /> r r n ' \,�-- <br /> r _- ��" i�1;r.; n�a����=`-''�=rrr. 1-� � i T�� e��r,�v�� — <br /> iuri�rEo „ B,� ��� l-1�u.,�_g-2— ti9��; <br /> L�,7f'r� DISi. 3S3• �Lb� <br /> S Add:es=-���� -1 --- <br /> TOTAL MATERIALS COST I��S �I <br /> T <br /> rOR OFFICE USE ONi Y: <br /> S ` � - �"� � <br /> DAiE G0��IPLETED — -- <br /> POST TO FCGT NO. ._ ��S �`��'� -- � <br /> ,5 v iz,�v � <br /> Crt-� �1�k`L--. — <br /> Y" <br />