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F:� i U <br />JUi��� a 1965 <br />Tap Fo:�_-7G%.'..f.......... <br />MUKILTEO WATER DISTRICT � :-- : � <br />SNOHOMISH COUNTY, WASHIIJG70N <br />i,�u.carEo v,tir:,��.LICATION FOR �NATER <br />All bl�nks must bc Iillcd in ur crusscd out <br />Slc Z <br />\tukiltco, \1'ashing�on, ....._.._.._._..���a..� /__....... __., 19.�5 <br />TO TIIE SUPGItIN1'IiI�DE\T OF TfIE TfUi:I1.TC0 11'ATER DISTRICT: <br />7 herebp applp for tLe use of water in necordance with the n�les and rcgulations <br />af thc Mukiltw Watcr Distrir,t. <br />During thc timc that anr of d�e watcr mains map bc wken up by rcason oI <br />any improvcmcnt authorizcd bp tLr Disvict in or of am• strcct, ro-.d or allcy in <br />wLid� t6cp m:ry• havc bcen laid, ihc Distritt will not bc rcquircd to fumish watcr <br />durinG tLc proGress of such improvcmcncs to anp consumcr w6osc supplp may thus <br />Ue cut o((, or bc IiaLlc for any damagc for its failure so to do. <br />Application 7�0..._.._...._..._......._._..._...__....__..... . <br />,��r . .(�,.Ci.- <br />�itv ��, � <br />i{�oC�:... . ... .__...._.. ..... . I.OL._... ... �L�..._ ..... .. . ......... ti�t�. ............... <br />No . ........................_. ....._..._._..._ __........._............. Strect...�.Y_.t-.�i. M�'��f�.�-��"(C� <br />_._I...�i�2Q...f-f-�l/a� D�.lz�t--. __._ 9C``�— <br />�. _ .... . <br />�-.,.�..�— <br />_ __ _ __ _ __ <br />Statc sizc of tap: _..._,,,1,�__"...__inch. <br />o� � <br />$..., __.._. ........_ .....__Las Lccn rccci�•cd with tLis appiication. <br />p d� <br />'J` �C.F I�e. u.. ._ .............. <br />C y o �✓J <br />... ..........................._....._.......... <br />Superintcndent. <br />Thc prcmiscs arc to bc uecd u a._J c�.�y�f�✓..[..�........_..._.. _ ................................. <br />TLc mvnci of tLc prcmiscs is... .�/�C-�_) .. .JS..........�J. 11.G.:1^_.-t� ...._"""' <br />0 J � , <br />7'hc agcnt is __..... ' b G 4 4 v� �( o--r—r�,__1:.. �•+*. <br />�....._... <br />......_.. ....__...... ._.. _... <br />TLis npplicatiou, altLougL sicry'd, shall uut 6c Uindinc upon thc District until <br />ACCC�)�Cd I]C AIC Superintendent o(itL� T�Fe�t�co \1'"1t Distnrt. <br />, � �.�..._�.,,.—^,.L,'."�_'� <br />Simud .�G�. � . .......... . ..........O+rner. <br />� / <br />IIy........_._....._�� ..........................._....__....._.._.._.f � .._....__......_.....__.._..._...._.... Agcnt. <br />� <br />Arecptrd . . . .. ... � 19 _.... U�� _.__ ._.._ ._..._.__...... <br />Suprrirrtr��irnt. <br />