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� APPi1CLTION IdO._ �, J I kCCOURT NO.��� �S-1�_{�i <br />� <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />1 <br />� � � APPLiCAT10N FOR WATER <br />; <br />� Mukilleo. Wasnington e ��`s , 19d� <br />TO THf SUPEAIt1TE17DENT OF THE IdUi:ILTEO WATEFt DISTfiICT: <br />! hceby apply lo: ihe use o! vrcle: in accordance with the rules an� regulationc o: <br />tne tdukilleo Wote: Dist:ict. <br />Du:ing the lime ihm any o1 the water ma!ns may be tcken up by revson oi anp im- <br />provement outiio:izec by the District in o: a( any street, rn�d o: alley in which Iney may <br />hcve been Imd, the Dist:ict wil! not be required to iumi;h wate: during the progre;s o! <br />�uct: �mproveneat� to any consumer u•hose supo!y may th•.ic be cut olf, o: be licb]e Ir. <br />an7 damagc for iL iailurv so to da. <br />"1'he nwner sLatl bc liable (or ane damages to tlic ser�ice eonnection. <br />� 1 <br />^ItOPGRTI'DfSCRI!'TIO�: �� % <br />,S, � L� Z r �� t, � C. <br />�� 7 <br />bDDRESS:�� /�`L• Ilut�_' c^Id /t'. .� <br />Siate siu of service �'� inch <br />�/..�a C. C C has bee� received with thic epplication. <br />T�e premises are to be uscc as e_.,� ���•- -��� �--. �� <br />?ne owne: o't the prenises is �!�C C�'%- �� `2i': �S <br />..,c aqen: is <br />The Dis;:ml reco�mends �nstallallon o: c preasure reaulating v�lve. <br />i�pplicenl a�knav.deoae• mio:matior. as lo tnn recommendation and ... <br />Agrecs to ur�..�1� c ptdi-�Lre;�vlating va� <br />Signe��f_jw�G �� <br />t� ` <br />Decli�es to install c p:essure reguloting vclvc <br />Siqnec <br />It is unders�ood that aIl conne,tions, including meter and meter boz shall remain the property of <br />„��P��A �i �� o���T���. � ,� <br />Sianl+� �� i �ti\��.+���— , Ownc: <br />AUG 25 1986 hdriress L7G L s-:�� �r. iv� <br />M��KILTEO WA7ER DISi.. B" �� ��—�—��'�� G�� �� . hgem <br />e Address � L. S y_ G.� %'� — <br />`1 <br />TOTAL MATERIALS COST ."1 I• <br />FOR OF'rICE US't ONLY: <br />DATE COMPLETcD __ <br />POST TO ACCT NO. _3`� S__ ��'3 'SS_-- <br />