Laserfiche WebLink
APpLiC�a N NO._ ��� ACCOUNT 1J0.;��=L. �" �G �� <br />/ iO ="1 L <br />! MUKILTEO WATER DISTRIC.T <br />�", \�,� SNOHOMISH COUNTY, WASHINGTON � <br />r , , �� <br />' APPLICATION FOR WATER <br />Mukilteo, Washington_ <br />%� - od' .i9� <br />TO THE SUPERII4TENDENT OF THE 1dUf:ILTEO WATEP, D15TAICT: <br />I hereby appl}' lo: ihe uce o: waler in acmrdance e'ith lhe rvles and regulations of <br />�he Mukilteo Water Disirict. <br />During the time ihat any o! ihe watc mainc may be taken up by reason ol any im- <br />provement autho:ixd by ihc District in or o: any slrcof, road o; allcy in which thcy may <br />have beer. laid. �he Districl will not be required to fumish w¢te[ during Ihe progresc of <br />such improvemenls lo any concumer whose supply may �hu� be cW oll, o: 6e liable lor <br />any damagc lor ils lailum so fo do. <br />Thc owncr shall Uc liablc for any damagcs �o thc scrricc cmmection. <br />PROPCRTY Di:SCRii•TION: ��.1 '1 <br />-s/� /. - 7'_ ' � <br />RK ORDER NO. u�— �� O <br />re //-20—��� <br />°OR METER CNANGE ONLY <br />1DING <br />2. N0. <br />4DING <br />a. NO. <br />REPAIRED ❑ <br />,/� <br />:QUIPMENT RENTAL <br />ADDftE55: ��'^ '�t �/%�`� �� /t- / NAME <br />Slate size of service _� — inch <br />a��O_! hns been rc:eived with lhis applicatior.. <br />Tne premises are to be used as a S' '�' �C �'<• •v �� � <br />The ownc: o: fhc premises is �' �' ��C r� <br />The aqent <br />The D�^,cid te:onr^�nds installalion ol c pre,sure regulating valve. <br />hnplicant acLn�wled9es iu(ormalion as to thr rocmnnendation and ... <br />Ao:ecs to inslall c p:e^sure regulating valvc <br />� r,�. <br />Si9nec—. i i, !, � �l _ <br />Decline� to inctoll a prescure iegutaling volvc <br />S�aned -- <br />Il is unJc�slond that all conncctions, includinF �����r. and mcic� bo� shall remain thc property of <br />Alukdleo N'atcr Dislrict. <br />, ,. . , <br />P_ A I D Signed ��r�,,. ���s�..y 1��, ow��� <br />� <br />OCT 28 1986 �,aa«���._i � � �//e«��-/. /� ,��/ <br />ap--Vt �•c �"��_'�'rJ _yd'•_�-_, \na�N <br />�11!�KILTEO WATER DISi p��«��_LC'/'cn• n/�c�+c c_ _�S"3 USOoJ <br />�S�L - �� <br />� <br />TOTAL MATERIALS COST / �• <br />, 6 <br />SO <br />ICK <br />�r � <br />SOR <br />TOTAL E�UIR � .SD <br />LABOR <br />COST <br />�, I�GD <br />/�l /� • vo <br />TOTAL LABOR COST <br />rOR OFFICE USE ONLY: TOTAL CHARGES �7 r <br />/ �S 3 c� <br />DATECOIdPLcTED _— ADU I �40VERHEAD _/ /��1 � �(�]'�,/ <br />POST TO FCC i NO. ..:3�� —�_ .� 35 —_— TOTAL OVERALL _—_L7�—LT— <br />CUSTOMER CREDIT <br />