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..�.. . .. '- . • • + . .. ' . . .. . , - . �`>.' �� ' � � <br /> �teo w��n astmcr <br /> s�+oMo�sN couNrr w�cr� <br /> �.ic�na�fon w��n <br /> �,� ; �, _� �� ,�.� � <br /> Applicatan No. • ��CI ►�p. <br /> Meler Size J��� Number ol UnAt � _ Accounl No. LL�O-� '3�_ <br /> I hereby apply tor water service and apree to be povemed in aocordanCe wflh the retoYAiona, rules and repulations N the <br /> MUKILTEO WATER DISTRICT penainirp to water seNioe, now or hereafter in effeq. The urberaipne0 as owner or <br /> representative of the herein-descnbed premises hereby aprees as folbws�. <br /> (t) ThM tlie eoct ol ery eMension M Rip wtler�srvioe,ren�wN.repl�oenNnt a rprr b rs�cA�nA�wre�he properly Ae�cribeA�heA be Eortie <br /> by myself w u�ipn�e�owner(c) of the promi�es. <br /> (2) TAat a8 pipec.waler mqwrinp O�vSa��nE o1Mr odm�eMq�qufPnNiM Watn�rt�kom fNr m�Yr slrA.Nbr Mir inst�4fon.ba�nd Eswrn� � <br /> me;,��openy o1 the MUKILTEO WATER DISTHiCt,subpa b�11n npuldon�p�ruMiny b w�Mw Mrvio�. `�- <br /> (3) ThM ah¢r incbtlatlm.X moM Ot mMsr bot�nd�pp�A�nas w�buiW or A�m�p W.IAe arrrr.wA Oe MIO�wponWk�W cMrp�C br slma. � <br /> (1) ?het tl�e MUKILTEO WATER DIS7RICT,kt oNian andapsn4,shM Irw M rpM d inpr�ts ad pnu p yp uponlie pn�mnes ay propeAy <br /> Aeeaibed Aerein br tl�e purpa�of in�pettia�,oonn�dinp a 6�oaw»c�np IM wrNa a Ia wdi�wr pupo�es u Ihe rerviee may require. � <br /> It is aiw urderstood dninp Ihe eme IAat my d M wrMr rrrns mry E�wl d N�vfo�br rMwn W�rry wnwbsr�a imprave�rbntc wtlariteA � <br /> by Ihe DISTRICT,m my steat or oliw bnYon in which wy m�y hw b�w�Wd,M Dt87AICT wtiA not b��quisA b lumish wolsr dxinp � <br /> the propra�s of such impro�b b r�y oonwmw w?qN suppry nyy Ihus b�aA ell,a!�i�6M la ory Ornypt for iu faNure b Oo w. OA <br /> (5) That the DISTqICT afuA Mw Ihs ripM w dNnp�Me Mea�1�ny tirtr py R�sekqion,b Mnpor�rNy JNoenenus M�srviee ro consumers,�nE 4i <br /> b IflEl�II RIB RIB1Bf(L) 10/ipKIR M MNlf OOfI{YIMO. TM DISTRICT1MiM�ot b�MM IiWM br AriNps br w�Aer p Wher quye rasuhirp herri ;� <br /> � detnctiveplumbinpa�pplianoe�inaWbdbyMowr�waocaip�rMonriepramiw�NippliWwMwalsr,rWlM4ctNtapan4otMieDI6TRICT C <br /> mey h�ve ine{waed Ms plumbirq rfd�ppirnn�IrN not bo pN�d u�brM 1or�oo»ry M ow d A�mp�n No�euid. fl Ih�wpply d <br /> w�tor sMA Irl a be in�ertuqedby ronon W woiMN.lew�prnsu�aoMruu�swlrboao,M pBTRICTNMM nol bs h�W FWY ford�mpw <br /> nor cMA�uch LiWre a intertupdai br ari t�uaubb Wn�b Mld b m�atCM�b�A d oonlr�q on M prt W�DISTRICT a in�ny w�q� <br /> rsliew�he oonwmer.w1�e11wr�amnt«avnw.koen pMamnp M oMip�eon ol wd�Mrrf.«ewnw's oonr�d. w�M�Arl E�w�E q <br /> �lie�M onlr on M P�mi�s�0nc�ib W Mn�n. A n�w p�rian�frA b�filW MaAd w��Mr b�O�sind ta oww prwniwt�MaiqA IocMW <br /> -�tl� on 4rd OesabW hwein. •:�;;(� � <br /> ' r;- `�'(�) TAn !» OMTlIICT noen�nMnN M�uN�Usn ef ��jrM�un rp�AMMq wh�. Ap�MerM �dcnswlMp� InbenrMsn n N IM <br /> �, � r�camn�nA�lbn�nd�awnrt WII r�yon�NNN�lor ImMIMq a NMny b MrYll�Mwwn�qM�IMq wlw a:M wlw��nlr�N <br /> M. VroMcl II hom MpA prw�wt. <br /> (7) TM DISTRICT utllitN cMek wlw�tl IM�Nr w�nvwM w�Mr mwnMq a�M ONrieN �n�Nr, TM pIfT111CT ne�N <br /> . Ma414Non d�M�nnN KpnN�n Unk b pnwnl��an�w qrwn MdMry awM Yr MwNw ArNr.A„IIeMM�Mnwwl�� <br /> � Intonnwlo�N b d»neae uen.M�wwn�IuM r»MnNMIry 1«MnYNMy a I�MNy N MsuN.r�wind�[pn.len MMc. <br /> ' SERVICE ADDRESS: �lovJ �,, Jlnn ' ,e ICI LOT NO. a BLOCK <br /> �/ � r' PLAT NAME: a <br /> CITYSTATElZIP: rk n l I LE(iAL DESCRIPTION: <br /> OWNER'S NAME: �� E X T �� <br /> OWNERS ADDRESS: � ' �X a� � <br /> ciTv�sr�r�zia: I l�% /-,:�(I(oS <br /> The premiees are to be ufey'a a <br /> �"�'n�� wy �� INFORAMTION LETTER-GAVE/SENT: � <br /> CHARGES: D� G <br /> (1)Service installation 8 oonnedion charpe S / <br /> . (2)Generel F�alitie�oonnection cherpe { ��(� 7' <br /> (3)Olher = <br /> Toul�mount reoeived wiN�ppliceEan = <br /> / ...� . L� <br /> IT IS UNDERSTOOD Mat thls Application,slthough dpned,ehaA no�be binarp upon the MUKILTEO WATER DIS7AICT unW�ppo LD/y.the DISTqICT. <br /> I,ihe undereipned,owner(or repreeentatiw)ol the property Oesprihed,�bpve,do hereby m�Me�ppfiation lor insW4Gon d a � / �irrli <br /> d�ameie�water cupply service wnnectbn.ircludnp eppurlenen�.aoE rl.rigqe�wry I�bor tl my�xpsntN. <br /> Datedthis �1 '�H yoh.�tiij/s,�, , '.?16 ��l17 <br /> APPLICANT'S SIGNATUREt �y��` `/r�y ��� � <br /> �- <br /> AppGwnfs Name(pleaee pnnt : 1�C .� � ��"f' in�_ ,�T. jE�'�.1 �''n_cr. P� <br /> � \ £, � <br /> Appliwnl'i Addess and Plrone Number'�"-' r�� •'��{ ' �� J`'��is��3 <br /> APPRONE�: 1""��' I E i � �` • ��S✓41 -7uC�S APR 2 4 199i6� <br /> MUKILTE ITER DISTRICT - � MUKILTEO N�A'�ER DISTRICj <br /> B, _ Da� <br />