Laserfiche WebLink
�_' <br />Tap'?`o........ �.� ..................... <br />MUKILTEO WATER DISTRICT G` � � <br />SIJOHO�d!$M COUNTI', V.'ASHINGTOIJ /� � <br />_ � <br />APPLICATION FOR �NATER <br />:ll1 blanks must 6c fillcd in or rrosscd out <br />/ /— 30 ,19.1�.�+ <br />Ttukiltcu� \1':ul�incton, __. .. .._ _...._. . <br />TO TI�IE SUPERI\'CCKDli\T Oi' TIIE TfCSiLTLO \CATGR DISTRICT: <br />I LrreLp apph' (o:' dre usc of wnlcr in accordance with thc rnles and regulations <br />of ttic Ttul:ilicn 11�atcr District. <br />During thc timc ❑iac :mr of thr watcr mains may br takr.n up by renson oF <br />any imprmrmcnt nu0iorizcd 6r the District in or of any svcet, road or allcp in <br />wliich ihn� may La��c Uccn laid, thr District «�ill not bc requircd to (umish �vatcr <br />durinc thc pmgrrss o! surli impruvcmcnts to nnp consumcr ��•6osc supply may thuc <br />bc eut o(f, ur Lc liable for anp damagc (or iis failure sc� to do. <br />Applintian Vo..... ..._._. ... . ,.�.C:cr–V-r�.,.�G., <br />Dlock........_ ......_.... Lot_. ...._... . . .. ....._._ . . .. ....... <br />� ........._. Add <br />No. <br />/ � � / .w ../�i 3 3 ....:._��.�.C-ls-,,.,�C..>�...s� ��4� _......._..... _.. ... <br />statc srzc ui lap: <br /><� � � <br />g /C __ <br />. . _. _ .. ......................_......._.. <br />.._....__._...._._......._... _ . <br />k' +"° ` �� <br />_ ._... <br />___.._ _ . ...... <br />�'�Y_ ���a,. �,�r,� ' 1966 <br />� �:p Di51• <br />has bccn rccciccdpfRjii{�tht��3�ipiication. <br />.. . . ... ....._._._....... <br />............. ............. . ._ <br />..... Superutltndcn:. <br />� '1� � <br />'I'hi• prrmi..cs are �o Lc uscd as a_ .� .� __........_ ......_..._..._..._..... <br />_�._' Ct�c .. <br />Thr ownrr o( tLr prcmiscs is � �- .��'��"i ._ .......... ..._.".............. <br />:� <br />1'iic acent is___._ _....... <br />'1'his •�pplication, althouch signed, slmll not 6c bindinS upon ti�c Distric[ until <br />accrptee; b>' tLe Superintendene.nfj the \fuLihe/ �:� Distri�:. <br />� <br />Si¢ncd:.:..: �G�'.% i�.7_.._��./�:f..-L:�.._.,...,.�_ ..._........._......._....Aroncr. <br />� `�1CC_ /� r� <br />IIp.....��'_�.`L�..__.__."._...'.......��.s.�-7 �_.r...�_..��'`'`...,�.._.......4gcnt. <br />A��r••�ned . .. _. .___. , 19 . _. IIy . _ .. ..__.... .....__....... <br />. . �� Suprnntcndcnt. <br />