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10806 HOLLY DR 2016-01-01 MF Import
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10806 HOLLY DR 2016-01-01 MF Import
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Last modified
2/18/2017 11:29:45 AM
Creation date
2/18/2017 11:29:44 AM
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Address Document
Street Name
HOLLY DR
Street Number
10806
Imported From Microfiche
Yes
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/.?oL[Ci'.Si_^f: ;70__ ___.—y._- ____— - _ _ .,CCOUP:T ?i0._`_ __ ' - . <br /> �� <br /> MUKlLTEO �VATER DISTRICT <br /> SNO:IOMI�H COUNTY, K'ASHINGTUN �S� RK ORDEF <br /> / <br /> fE -L <br /> �PPL{E:ATaQ�! FE�R 1f►��LER <br /> =0R METERC <br /> ��I �_' , ,i .� _-, <br /> Mukilleo,Vlashington—�-=e�"'� , 19"'J � <br /> TO ii�E SUPEP.It]TEIdDEP;T OF THE 1dU!:IL7£O WA7EF: DISTRICT: � ADING <br /> ' nceby aFp!y tor the use o! wote: �a acco:dance with ihc rules ar.d regulationc ol <br /> � tnc 14ukillec Water Districl. �� <br /> DurinS �he tine that aay o! ihe water mains may be ic'r.er. up by :eason o: cny im- R. NO. -- <br /> � ^-vvment au�ha.ized by ;ne Di�tric: in or ol an}' street, road or alley ir. which tney mar <br /> tuvo bccr. laid, tnc Dmtrict will r,ot be required fo iurnish we'e: cu:ing tne progress o: r <br /> :.�i_i: :a:ptovementc lo any cor.sume: whose euppiy may �hus 6c cu; ol.', or be LQ�Ie :o: =ADING L <br /> ; :ia:n�ge for its Ioilure so to do. <br /> O. __-- <br /> 'Phe owner shail he liable for any damages lo the service connection. <br /> �, _ _ ,� ' ER. NO. — <br /> i��,orrari� nescemr�ox: /0 �'D�- �%�c.iJ.�;.. .2'.�!z,��t�, _ <br /> __--�J�:�'/_�-f� ��� �i /✓l-� RePAIRcD <br /> EQUIPME <br /> — � // /., — N� <br /> :�.DDHESS: ��� ��G � ��G-C.X-t'-i_ ���.,�.IJL' : <br /> , NO._�— <br /> :St�te�/cue o(service "�'�''f inc�i �—---�— -- 'RUCK <br /> :-j �-''n� has been recei^ed with thi_application. <br /> " j i0E <br /> Thc premises are to b�uced as a„���-�-• '� _c. �?�G.�.. _)�-r-=C�C._�c�� <br /> Tiic ownr. 01 l'ne prernises is `���C����t'�1-C-?�-C'-+v iESSOR <br /> ✓ <br /> Tiic aqent is _ <br /> The Distrrt recommends installation ol a pre;sure regulating •ialve. <br /> hpplicant ocY.nowledges iriorma(ion as to the recomm=ndauon and . . . <br /> i�p:ces lo instell.c pressure eaulating valve �i <br /> Signc�%/i�ni✓i ���v,-�.�a..� '7 .�JS'^ !✓S-� L <br /> .-.,_linrs to inslall a ores;urc regulating valve <br /> Sianod � <br /> ❑ is undcrstooJ that all comicctians,includinF mctcr and mmer boa shall rcmain tl�c property of <br /> 1LJ:iltu�\5a(cr uiyuct. / .. <br /> P ; f v C� <br /> Signed� i-�`%"-'r""{"^� , OH•ne: <br /> JAM 1 �11983 .,oa �55 /CBo� ���elt. /%z�'�,.�_ <br /> , <br /> MUKILiE9 WATER DIS.�. � h9e,,: <br /> s nL�4Ie55_ ___ _ —. <br /> _�I—__—..—"_.—__- <br /> I <br /> r C J <br /> TOTAL MA7ERIALS COST � -'� � _—_---� <br /> T07AL GHA <br /> FOR OF�ICE USE ONLY: ADD <br /> DATE COIdPLETED � �Y �? " <br /> TOTAL OVE <br /> POST TO ACCT NO. lOf 3�� —�L.'s' -- CUSTOP:I-F <br /> a` <br /> �: <br />
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