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r �"+ <br />Tap No...r:..:._7��....._.... <br />MUKILTEO WATER DISTRICT ' � <br />SNOHOMISM COf1NTY, \•/ASH'NGTON <br />APPLICATION FOR �MATER <br />All Ulanks must be iilled in or crossed out <br />��3 <br />\fukiltco, �1'nshington, ...___. ___. /— 2_�' _...___, Ifi GS <br />TO TIIF. SL'PSS:i\iE1DCKT OF TItE AfUI:ILTEJ \1'ATBR DISTRICT: <br />I hcrebc apph� (or thc usc of w•atcr in :�cmrdanc^ with thc rulcs and regulations <br />o( t6c \fuLil�co 1\'atcr District. <br />During thc timc that am� of thc �ratcr mains mar 6c takcn up by �casun of <br />anp impm��cmcnt authorizcd bp tLc District in or ot anp strcct, road or allcy iu <br />whid� tLep may have Lecn Inid, the Distric; �rill not Ue requircd to fumish watcr <br />during �he proeress of suih imprm�emenu to ane mnsumer whose supply map thus <br />be cut olf, or be liable for auy damage for iu failure so to do. <br />Application :�o.__......... __.........._..______.__.. <br />Rbd:_ _.._. .._._...._. Lot ............% .._._......... Add�R.�.�.�i-*.�-c.ci..f/'a"c't8. <br />No........._ _./._ __............. ._.___.... __...._.. Strect ...__...... _ _............._.._. <br />_[.Lil/ . .... .... . ....c�`'�La,rLGe�...C:4.e`.c.._.�-. _.. . ...._.... _... <br />_ _ _.._._.. _ ..._ __.._.... __ _....__ .. .....__._. <br />Statc size of tap: ..���j�!....._.....in�h. -.. r � .. .. <br />M' ' . . .. <br />i <br />$./.�'..'�...__......_...._.._tias bccn rccciecd �rith this appiication. <br />........_ ............._................_.._..___. _.... _..._.. ___.__..._..._.., _................_....... ...._.. <br />^ Supuintendent. <br />J '/ <br />Thc premiscs arc to Uc uscd as a._�<GC..e:ECC.+a...:..P<..............._........._ ......................... <br />Thc owncr o( thc prcmiscs iz....i�� __.�✓Yet...�,.:..-�.........._..._..........._._...... <br />/ . <br />Thc accnt is _. .... <br />1'his applintiun, aLhnuch sicncd, slmll not h� biudinc upon thc District until <br />�ccc�na1 �y tiic S�i�icriiitci�Jrnt ot tfic �.�t�ikil+tco 11'cter Disiric/y <br />S igncd ..��...._�.,�YL:rf.7.vil.T....�- ...._........._.._..._......0 u�ncr. <br />D}'.........._........_.........._...._..._...._...._._.__ __............_..__._ ........................................Agartt. <br />:lccrptcd ... .._. ....... .. .. _ , 19._. . IIp__._ . _. ............... _..._...... <br />Sup� rinlcnden . <br />