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� <br /> ^1 Ii � v,�o - <br /> hr��IC� :��.__--/ ;<`Y___. _ AC�OUi;T lJO. � U ���� <br /> MUKILTEO WATER DISTRICT " - <br /> SNOHOMISH COUNTY. WASHINGYC�N /^� �l.� �.I <br /> `_ V <br /> �PPLi��lF�Qt�! FOR l�l�'CER <br /> Mukilteo,Washington � ��, I5`r—af <br /> T:� ;HE SUFERIIJTEP7DENT OF THE MUl:ILTEO R'ATEH DISTRICT: <br /> I }:�reb� epply lo: Ihe uce ol wale; in accordance v:ith the rulec and �eguletion; ol <br /> � thc ldukilleo Vloter Distriet. <br /> During the time IhQ; uny o( the wafer mcius may be taken up by reasca u! any i::,- <br /> ' provemeN au�horized 6y the Pist•itl in or c.' nny sireet, road or alley in which they mcy <br /> iicve been loid. Ine Dtstrict r.ill not be requirod to iumi;h wate: ourino ihc prop:esc ci <br /> cuct, improvementc �o �ny concumer wnose cupply may Ihu� be cut o!i, o: b.. .i.,..a .... <br /> r�ny damage lor iL iailure so to do. <br /> Thc awncr xhall be li�blc for any dama@cs to thc scrvicc ronncciion. <br /> � y �i. <br /> � NI!OPCRTY DESCRI!'TION: � — <br /> .��' ='1 � �'7-d � � - <br /> _ � � / - <br /> � � v. <br /> a.nnaEss: /U '7U 0 /��-t .—� -� �-`�� ��L <br /> ��. <br /> �— <br /> L-�•-� rr. <br /> :.tato cizc ciservicc inch <br /> �� �/ GO. DU hcc been received with ti�ic aFP:icctior.. <br /> Timpremiscsaretebeusedasa �k ✓ �e�' <br /> � �n <br /> Ciic.ownc:o!lhe P:emisc&is �Y � �-4 , i� �?C � _ _ <br /> Tis agent Is - ' / �� — <br /> _���[��� 1�,'� ��f 2.7�t�•''_'� G:�vLC/�,�. .�<`.�_ <br /> ne District reco}y�r.iend mc�aLation ol c p escure rcgulating valvc. <br /> i,pp!ica�t u�i::.oi.•ieogec iniormation ❑c lo the recommendatiar. ^:�� . . . <br /> i,a;ces to install a piecsure reaulating valve <br /> Signed _ <br /> :?rclines to inst¢I1 rrssurc regu ii�� — <br /> Sigr.ed _— — <br /> L� <br /> ❑ i� undcrstood Ihat all cenncctions,indudinF mcicr and mctc� shall rcmain Ihc propertr o( <br /> AtuCilieu 1Sutcr Uislricl. /� � <br /> i� A �1J Signec-So�. ' ,/ .G�•.�i;<�' Ow�u' <br /> (7 I�odress `S�� �L 7 r�ry S� — <br /> ���� :i �' �.7gsg ���, n �.�_ ���' �—��l}+� %a,0 -� �� , hnec'. <br /> : ��"'�ILTEO WP7ER DI$�ad:��,_ �``J-=?�� �-- -- <br /> �/�', .� 7� �/�' ''7 <br /> TOTAL MFTERIALS COST <br /> fOR OFFICE USE ONLY: <br /> DATE CO:J�PLETED . .. ._ . --. .___ . . - - <br /> , <br /> POST TO ACC7 NO. _ -----.-------- -- -.. <br /> > <br /> r�„, <br /> i„«vr <br />