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. _ .. , :: <br /> � Tap :�o.�._..._�.i�._�......_..._ . <br /> f� i11<lLTEO VVATER D;STRlCT <br /> SHOHO;dISH COUIJCY, WASNINGTON �� � <br /> APPl.lc:ATION FOR WA i ER <br /> � :111 6lanis must bc filled in ur crusscd out � <br /> . Tfukiheq R'ashingmn, . _..__ . ._...._.. ....... .. ., 19 . . <br /> TO TI11: 5GPCRI\TG.'�DLNT Or TI-IB MliICILTGO N'nTPR DISi1:iC7': <br /> � I 6crcbc appl�: Im thc usc'o! �rater in accorcante witli thc rulcs and reguladon, <br /> of thc \fiJ:iltcu 11'atcr Dutrict. <br /> During tLc timc that anr of thc watcr mains inap bc cal:cn up bp rcason o( <br /> any improvcnicnt authorizud b}� tl�c District in ur ot anp strcci, rontl or alley in <br /> wLid� ihcy ma}' h:n�c Lccn laid, die Distriu will nnt bc required to furnisti u•at��r <br /> dnriue the pmeress nC such improvements in :im� cnns�uner �chose supplc nmy thus <br /> Lc cu: o(f� or bc liablc for anp damagc for ur. failuru so to uo. <br /> .4pplicatiun ICo...... ..........._._...........____... . .. <br /> IIlock ..___.... ......... Lot ......._._ .._......._ .. Add. . . ..._.._ ..___ <br /> Na. �� �.:� -�. ._..._...... Svcct...C�< <.y ✓�E'/�'G- <br /> _... ... . _......... . /_.... .. ... <br /> CvEN--�`-rr,..._cv�.�'._I D c F.� o Y . . . <br /> F"t3___.._i 1�i� __. <br /> _ . .. .__..__.. <br /> State sizc ot np: ......_���1�.......ir�Ui(ILTEO Vlki[3 DIST. <br /> no <br /> $.....�..Z.u`...___-.�._......._haz becn rerci��ed with this applicatiou. <br /> .._............. . . ._........... ......_.......... ___ ._.... <br /> Superirttcndcnl. <br /> 'l�hc prcmiscs arc to bc uscd as a./Cl-S_L.L?.�-r.✓_.i.....�... ................. .. __.. <br /> Thc ou•ncr of [hc premiscs is...�f1�.�\�V.� __.......LiJ 'i.l�'1`�'"' .... ... <br /> TLcagcnt is .-...-.... ............._.. _..._.... .._.___. . _._..... ___.. <br /> 1'his application, alt6oucL signed. shall not bc bindinc upon thc District until <br /> accepted 6y d�c Superintcndcnt of thc Mu4dtru {1'atcr District. n <br /> (� � �A�7 ,'/ <br /> �.SiSncd._. V�V«-i .'��"��� _�.�.....`�-".�'�-1;......Au�ncr. <br /> �c'y �C-- 3."('cc-� S 4�• e <br /> IIy..................:......._._........._....__._....................._............__....................._... ... gen:. <br /> n���P«a _._ . . . _e���-QQ _�e:�� �l�/ �/6 <br /> _ __ <br /> s �,� «,��i�n: <br /> v � r � <br /> j' . ' - _ =��0 . �'- �?r�� <br /> � j����;e! ,�� /��/�j 7�- <br /> x <br /> <, <br /> !F <br />