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. -� C`J/�___._. <br /> � Tap i�o...�-__....._. .,. . <br /> ' lJ�UKILTEO UJA7ER DlSiF!CT <br /> gJp?,O.'.'SH COUNTI', `/��SHINGTOiJ � <br /> ��� <br /> � <br /> AFPLICATlOtJ FOP. �NATER <br /> All Ul�nl's rnust bc fillcd in or crosscd out <br /> �� _..��� _..._ ., 19�.�.� <br /> \Ld:ilico, 11'ashir.gton, __ .-.-.-. . .. <br /> TO TIIC EUPf:RiST1:1'DEI�T OP TFIE TfUSILTEO �1'ATCR DISTRICT: <br /> I hcrcbp appl}' for thc usc o( waicr m acmrdancc t�ith thc rulcs and reSul�t�ons <br /> oC llic �tuLiltco N'atcr District. <br /> DurinS tlic timc th�t anp oC th^_ water mains ma}' bc t�1:�° �iP by rensnn of <br /> 1n7' improvcmcnt authorired 6p du Distriu in or ot any svcct, road or allcp in <br /> whidi tl:cy may h��'e becn laid, dre District w��� not Uc rcquircd to furnisL «��,r <br /> ba{eut (t,�Urrbe linble tor'an�y damaga for its failure soutocdo��Uose sup,ly may thus <br /> Ap�lication '`o .... ..-. - � . . <br /> IIL�. c.C• � % <br /> � _ _ . _ ��d, � .� .-y -,�.— � <br /> moct ..__._ ._... I ot ... . . <br /> � ./,`i�r �� �y:.... t � . :z`!._ Strcet....__.... _... .......... ..._......._. <br /> 10. _ �... . . _.. �', <br /> I D3 0�/ .._fr-0..LI.y.._D r #I+ _ _ . <br /> _ _ __ <br /> St�m sizc of tap . ..e-��`1 ..inch �� ���� _r � <br /> _ �., ' . / <br /> q �/�?._._�..._.__.. .. .__...h:is becn rccei��ed �ritL Ihis npplication. <br /> ............ _ .. <br /> ._.._......_ . .. ........__ .. ._.. <br /> ""`���� �' Superintcndcnl. <br />"� � <br /> / <br /> �'.�c.,i:. __...C.. _.. ... . ..._. <br /> 'fhc prcmises are to be used as a... r .. � /, <br /> Cr'- .!.c-�:=/r,�� . �f �.._ . ..._ <br /> Thc owner oI the prcmises is...........:......... <br /> • ._..........._. ......_._..... <br /> ...__............._......................._.._.___ .. <br /> �r�,-� :ic�nc �s ....._. _.._..... <br /> 7�hi. :�pp!ic:��ion, althouch si�ncd, shall not bc Uindinc upan the Districc until <br /> ;�rn•pted by thr 'iuPerintmtdeut of the �ul.ilteo ��ite� D�str�t / <br /> l�i i /� / /.:.. "� .�._.......... ...Amnu. <br /> i ... --._._ . .. .... <br /> Sicned_ 4 .:. ...... <br /> � ....dgun:. <br /> ny...__._._...._..........................._. <br /> ....._._...._...._.............._._......__._..._........_._. _. <br /> , _ _. <br /> :lrrcn;r.c. ._ ....._. .. . . . ... .. , Ig. .. 17� _.. cypria:rndrr::. <br /> n <br /> E, <br /> -vd' ':�'+_ <br /> �r�r+f-.`�'..; <br /> . .. .. . . ii .... _}.. �.. .�.�. . ... . � <br />