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APpiICA7ION td0. �If fi� __ _ ACCOUNT td0.��-��'�L <br />MUKILTEO WATER DISTRICT G'�(� <br />SNOHOMISH COUNTY. WASHINGTON <br />APPLICATION POR WATER <br />Mutilleo. Washinglon / -� • 19 � � <br />TO THE SUPERIIdTENDENT OF 'fHE MUKILTEO WATER DISTRICT: <br />I hereby apply lo: thc use ol water in ac:o:dcnce witF. ihe rules and tegulalions ol <br />the Mutilteo YJale: Dislrict. <br />During the lime ihat any o1 ihe wat^r mains r.�ay be taken up Uy rcasor. o`. ony im- <br />provement autho:ized by ihe Uistr�d in o: o! any street, road o: alley in which thcy ma)' <br />havc been laic, Ihe District will not be required to furaish walc: du:inq Ihe progress ot <br />such improvementc lo en}' con�umer whose aupply may �hus oe cu! oll, o: Ge Lab1c lor <br />any damoge fo: ils;ailu;c so to do. <br />Thc owncr sl�all bc liablc (or anl' damagcs in �hc scn�icc conncction. <br />PROPCRTY DCSCRIPTION: �� � �/ <br />li� �-d� <br />ADDRESS: � /�� �I U w�Cc I C �'/ <br />�✓ c .- -f 1� / r ; J� % �� � � <br />Stalesizeofsereice��—�—�nch J��S-�y3Cppoo�oo <br />a 2 0.06 has been received w•ith ihis appiicalior.. <br />� /� � <br />Thc p:emi;es arc to be used as c��^�` � r�� M--� <br />fhe ownc: o11he pmmiaes is� ��1/�---f �Z �'�% l� ���/� G`- u � <br />/'7Ct✓.t��C `�'+� / — �-?'�/�r-Q�i_c'1- %/7�-' <br />Thc agent is Y ��,G�C2 L��� <br />}t t 2--c +.. • �; :i+., � -L.� -, ='� ' - <br />�The Distnc; rp.onmends inctallauon ol c pressure rer�ulatin� valve. <br />Applicant aoY.now•leoges inior:nalio: as lo iSr retommendation and ... <br />Aarees lo instnll a re.surc regulatlng�� �valvy� <br />. . ,���. ,. % L lT — <br />De�linec to inetall a Fressurc regulatin� vnl^e <br />Swned — -- <br />It is unJcrstoud Ihat all conncctions, includinc metcr and mctcr bo> xhall remain lhc propertp of <br />AtuAiltcn 11'atct Uistrict. <br />�//� ��%. /,� <br />P A I D Signed ��`.""""„` U^ OWne- <br />JUL 21987 ;,da«��p ��'3�y .S� 1/aw��%k �P r�� <br />ec —/_�. � ,_ � � � .%/� y ) c� L �i . Aacn: <br />M;�KILTEO WAiER DISi, y—� <br />p r.ad«�=--- - — <br />C��YO) <br />FOR OFFICE USE ONLY: <br />DATE COMPLETED _ <br />POST TO ACCT NO. _ <br />4K ORDER NO. —F �� ' �V L <br />E 7-6 - g7 <br />�R METER CHANGE ONLY <br />NO. <br />DING �r� <br />. NO. <br />REPAIRED ❑ <br />]UIPMENT RENTAL <br />NAME <br />A <br />;K <br />OR <br />3•00 <br />TOTAL EOUIP. I �� <br />LABOR <br />TQTAL LABOR COST I �7 <br />T0T.4L CHARGES �D' 7 O <br />_ ADD ��-� 90 OVERHEAD �-7�' ���s� <br />TOTAL OVERALL � � '� <br />CUSTJMER CREDIT <br />