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� ��- _ hCC011IdT 1,7n._��-1 f JLL . <br /> I,po�ICS-T-::�(:LIQ_ .- __.— <br /> / I�IUKILTEO WATER DlSTRICT � �j� � <br /> SNOHOM�SH COUNTY. WF�SHINGTON <br /> I 1� <br /> p.PPL�CATfOt� FC�R ihfA'fEit <br /> � . <br /> 3 - 1a— _, ie �—� <br /> ldueil;eo.Wasaincton - <br /> i0 :H� SUi::P,li:T=IdDE1dT OT THE I.SU!:ILT°O VlP.TEY. DISTRICT: <br /> I nere�y eppiy io: the usi� ol 'na�='r ir a=co;dance with the rules a^d regula:ions o! <br /> � tiie MuY.iltec 14ate:District. <br /> Durir.c the tir�e tna: ar.}• o( the woler mcir.s maee� roadcor cll D�in c+hicn fnevYmc:� <br /> � provn;n._.n; autiio:ized �y fne G�ct:ic: ir. er d• er�i <br /> iicve been laic, ih^ DisL-ict wi11 n�i be requirec to iu:nisF. wmar dur:o; ih=_Jpr��?.E(: o` <br /> r.uci: tniProvemcr',L lo ar.! co�:.umc: x�iiosc supplp inay t'nuc �c ^w. :;... <br /> r_�c dcmag'Ix i!s Icilure so tc dc. <br /> Thc owncr shall bc Gablc for any'dam+g�s to lhc sen'icc conncction. <br /> 1'ItOPGILTl' DLSCItIPl'ION: � � ( r <br /> FOLAA)qL • .n�i__�.�c��r (J/L / <br /> hDDRE55: ID3-3 �L �L�C-���'�-G'--1._L=t'�'=c'-`�- - <br /> Slate aize of se:vice..��--��ch <br /> y�5_C�Zhas beer.rec=ive�'xitn inis a?pli:atice � <br /> Tne p:er.iises a:c to ne used cs� �'L-�"4-�- �''���""���'-"- � L� �� <br /> Liio owne:o`.the premises is_� <br /> � 1 �21y1����i <br /> Thc aqent is _-__-__ <br /> �nE ;p,;;��; ��;.�^ ,�Cnds inctallal�c:: cf c precsure regulcting �'-1ve. <br /> 'pplic�nt ac' .o^:le�ge_ iniormatic:: aa to the :_comm^ndatioa enc . . . <br /> . � <br /> hcrees to ir.aa es�u:e re^ycla.^.n �^� <br /> � � .., ��i�9�i_ __._— <br /> �: S:aned - '_-��--- -�-_ <br /> ..__,...es L^ -��tall c r;es;u••.:o9ulatin�3•:alvc <br /> ;nnec-- ____-.- _-____ <br /> I( is undccslood that all conncctions,i ' nC ����% ��'� �C °��;bns shall remain Ihc p«pesty°t <br /> �lukiltcu R'are� Districl. <br /> / O•x•_.c: <br /> ��Siq:�e. <br /> —L�/� ��� <br /> � , �����—�r]�--- -- <br /> . ;'-�, l ,.- /,ddre.,s <br /> p� �t � -] hgen'. <br /> _ -� r, .r�r,, g�. �Y.�Vl!„_' t'�� �' <br /> r � ... � � Ari�:ccc_ '___�_Qj�-�`-?���---_ __— <br />