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D Q <br /> «�' Tap Tio....I.�..... ... ....�...✓....'.._ . <br /> MUKILTEO WATER DISTRICT �'- 7 � <br /> y � <br /> SHOHOIJ.ISF COUNTY. Y.�AMINGION ' � <br /> APPLICATION FOR �,NATER <br /> All blanks must Lc (illcd in or crosscd out ,_ <br /> \1uLiltco, N'ashing�on, .. . . ��S-' .'�.._.. _..._ __ . . , 19 �...� <br /> TO Tllr SPP7:RI\TL'\DL\T OP THL TiL'f:i1.7'1;0 11'ATCR DISTRICT: <br /> � I hcreby appiv for thc usc ri e�atcr in accordanrc wit5 the rulcs and regulations <br /> o( t{ic Tlukiltm 11'aicr Districi. <br /> Duriug tLc timc that am af thc w�atcr �nains mac Lc takcn up by rcason of <br /> anv improvcmcnt autLorizr�I 6�� thc Uisvict ir. or of anc simct, road or allcy in <br /> which thcp may Lavc Lrcn laid, thc llistrict will nnt br rcquircd to (urnish water <br /> durinG thc pmFresx nf sucV� improccmcnts to am� mnsumcr whose eupply map thus <br /> � bc eut off, or Lc ]iaLle for anp damacc (or its (ailure so to rio. <br /> Application Ka . _ . . _ _.. .__ ..... <br /> Blotk ..... ... Lot �.'S ...... hdd. . _..... ..... <br /> No..... ...._.. J� C.._�' lt ._ ._.. Strect '(....d+yr.t ��.� �;�a-�7 <br /> ),�� .._._._ d._ <br /> ... ....._ ... ..... ..._........ <br /> ��'�..-'_7�.t.�I.�_ _'r"^.t........... .. .. . ............. <br /> . _._._.. ............ .____ . _.. . . _ . .. . .. ._. <br /> ...... ..._ _....__ <br /> State sizc of up: ..._3/y._...__...ind�. <br /> $ � n i <br /> �s .. .. .Las bcrn rccricrd �rith this applica:ion. <br /> .....__. .._._..... . _....._.. .._....._.. ......... <br /> Sufcrir.tenacr.;, <br /> , F. , ,. <br /> 7�Lr prnnicec arr to Uc uscd ac a_./Ua'�-��"rt��_ • _.. ......__... <br /> 7'hc owncr of thc prcmises is __./.'�^'r`"��" •"-_r `��"� ' � <br /> .. ... � . .� .... ... ........ <br /> / e 9 3 o a�..�..�.. L",..-�'' `"�wr <br /> i, ...__. . .. ..:.: �:;i. <br /> Thc arent is . .. .. .__ ......... ........._ _. .... .... ...__ ......._... <br /> "1'hic applir.�tiun, nldiough signrd, �hall not 6c bindiuc upon thc District umil <br /> arrrptrd Lc tLr Superin�eudent n( tUe ;11n}ihen 11'aler District. <br /> Sicnr.d ..._ . ._..,,._�. .........___. . ._.....__. .. ....._...._._.......Omnn. <br /> Dy_... .... ......_. . . .. � .._ � .. 1....... Agcrt. <br /> _ <br /> ^. r � �.' � �,. <br /> Acerptrd ..__..... __.._. ._... ..� 19........ IIy� .�.�� / ,_..!�_� ......... <br /> � Suptrinfendrnt. <br /> ,� ._�.. )�llyf� � .. 19.. _ 7 � �� <br /> ,�;-. ��"� _ � _. _ <br /> ,/r". . �. . �.L.. . - <br />