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y <br /> �jC'FLIGATIOP: Y.Q_ ��_ <br /> —__ .__..._____ .___ l.CCOU[4T 1d0.=�-�G- S!'K�C-G�,�� <br /> MUKILTEO WATER DISTRICT <br /> SNOHOMISH COUN7Y, WASHINGTON �K OR <br /> . �Sv <br /> — E — <br /> APPE.ICATi !ON FOR WQfEit� . �oa Me, <br /> Mukiheo,W�shiagron �� ��l � <br /> TO TH.E SUPEr^.?I;T=f�:DEN; OF THE MU}:!LTEO WATER DISTFICT: ' 19�J ADING <br /> ' ? aereGy apply Io: th� use o! wo�e,- in accordence wi(h ihe rules and regulalions o! �' - <br /> tiie Mutilteo Wate:Di;trict. <br /> ' During Ihe time that nny of the wate: mQinc ma}• be ta'r.en up by reo,or, o� any, �,n_ R. NO. _ <br /> ,:ovemem authorized by the Dictricl ir. or o! any ;heet, road or o11ey in which tney may <br /> h'=��� been laid, Ine DisLict wi11 not be required to )umish •.vater during the progress o! '-ADING <br /> �-u=h improvemeNc lo any cor,sumer whose supply mer Ihus be cu1 01;, or be lieble� 10: <br /> �'�v damage lo:iL-failure;o lo de. <br /> O. __ <br /> 'fhe ov�ner xhall Ue liable 1'ar any damages �o the service ronnec�ion. <br /> `� ER. N0. _ <br /> 7'ItOPGRTI' DCSCRII'TION: �� /-� j �%�,�� �- -- <br /> _j�'`� , �f /� REPAII <br /> �---��GUL-lt-7`— r /�,_,,r� <br /> EQUIPI <br /> �� ��'� �%� . <br /> AUDRESS: L ��,�,,,�n NO. z <br /> _.�� - <br /> Siate�ize ot service. 'S�`F TRUCK <br /> inch <br /> 5 ��ha,becn roccived with thi;applicotion. . 10E <br /> Tn�p:ecaises ore to be uecd a;a >/. .y.,,/l� �/� �, �F/� �/� <br /> 4� C// �r.�a�i <br /> Tneowne:o'tne '/ `� / ' ��f `RESSOR <br /> premi:es is� �>-�� <br /> � � <br /> inc cqent is ', � '/ <br /> S o� T —rP?j r <br /> Tne District recommendc installation ol c pre�sure regulating valve <br /> �+FplicnN ac'r,now9edqes in(ormation em to the re:ommendotion and . <br /> hgreec lo install pre,su:9 regulating val�� � - <br /> Sic�ned ' � �. Z <br /> � 7 ��. <br /> Dcalinec to i.^..tall c pressu:c rc�ulatina valve ---- <br /> S�qned //��/� � <br /> '.- /< <br /> I� i$u��dG{stood-�,t�e aIl connections, including metcr and meter boz shall remain Ihe property of <br /> 1fuAiltdTZi�',�eL Q��.,c1Et. ' <br /> I q 7f1p i <br /> ;�li!'.I 1 i� IJU3 5i4ned��2G���� . Ov:acr <br /> I I - Lddress �C �! � j���E� � <br /> L4U{G..TEO NAiER DISi, ���.c.c<e. <br /> '�s' �'— %_cc-tt�-�J_ ^ ?C,c� <br /> . <br /> Q Agen! <br /> hddress <br /> I _—' ---._— _,. <br /> i <br /> � <br /> � TOTAL MATERIALS COST j /, J(' <br /> FOR OFFICE USE ONLY: TOTAL CH. I <br /> DATE COMPLETED _����%1�z5 —— ADD �U <br /> POST TO ACCT NO. _=C-'%`�`= %�• `�� _-_ TOTAL OVI <br /> Ci, isn 39,7a _ __ cusrotiie ' <br /> (�V� /o.�� __ ! <br /> -;.�.�. <br />