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�-, <br />�'• APPi1CAT101: 1v0. �_�_� <br />,,� � � <br />� ��2 <br />i <br />ACCOUhT NO.G'Z� `_0��'S-�'P <br />MUKILTEO WATER DISTRICT \ <br />SNOHOMISH COUNTY, WASHINGTON <br />APPLICATION FCiR WATER <br />9- <br />S_ <br />Mukilleo, Washington ' / , 19d �' <br />TO THE SUPERIIdTENDE1dT OF THE IdUI:ILTEO WhTEP, DISTRICT: <br />1 hereb� apph• fo: the use oi waler in accordance v.•ith the rules and requlations o! <br />the tdukiheo 1Vate: District. <br />During lhe time that ¢ny o: �hr walc mains moy be IaY.en up by mesor. oi any im� <br />prorement autho:ized by the Di.tric; ir. or o! aay slreet, roac o: alley in w�hich they may <br />�ave beer. lmc, Ihe Di;trid u•ill no: be reGuired to ivmi;h wcte: during ihe progress o! <br />auch improvemenis t� eng consumec whose supply moy Ihu: be cu; eC, or b� i�ablr ior <br />any dama9e lor it: Iailure ;o to do <br />The owner shall be liable for any damages �o the serviee connection. <br />1 <br />CROPLRTI' DCSCRIPTION: � � � <br />v � �- <br />ADDRESS: ��� I�0 c..' CI< I P �I <br />State stze of ae:vice � ineh � p S�y 3 c.` U Q(� � if C C <br />�— S� ��"�C' ���Gnas been receiveri vritn this application. <br />'� The premises are to be used as c �' ����^ •/ <br />� Tne owne: o! ihe premisec i; _�o� � C,-�• r^ � <br />— The agen! i= <br />The G�stnct :erommends ir.ctallcuor. o! c p:essure reaulaling veive. <br />npplicant atknowledoec inio:mation ac to the recommendation and ... <br />� i�g:ec. te install c/ptessute re�ulalino volrc <br />J Signed f+.L-....i-.,.�-� i-.: :.�� — <br />�� Dedines to matall c pres�u:e regulctina valve <br />• Siqncc <br />It is unJers�nod thm all connections, includmF meicr end meter boz shall remain the propertp ot <br />— AtuAiltco R'a�cr Uistrict. ' <br />- P.A1D <br />'- SEP 81986 <br />Signed��'�'"""��``� � � _ , Ox•nr <br />Addsss /%•3JZ� % �: vr ��� n �r�C F e� <br />By_h\/nri.�'PCC_Li'"'`�`' 7�'0:3% .Aqeni <br />'� � U 'n <br />_ �1�'KILTEO WATER DISt ?,d�r��� _ � � — � � L- <br />c 1u 7 <br />iIALS COST J/� J � TOTAL LABOR COST �/�%. C� <br />TOTAL CHARGES _ _Lu �=._ J� ! <br />ADD j �R� OVERHEAD _�� � � <br />TOTAL OVEHALL ____�[,_[; =,,,�__/ <br />USTOMER CREDIT ___._______ _ <br />