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� L�� ,/� 43 <br />'PLIChT10td 14C._ '' <br />� _ l.CCOUNT NO. i �v'�' G <br />'�~ MUKlLTEO WATER DISTRICT <br />SNOHOMISH COUNTY, WASHINGTON G �G�L- <br />QPPLlCAilON EOR WATER , <br />: (�� <br />1Aukiltco. Vlashingtan � - � � . 19 U �\ <br />� THE SJPERiNTEtdDENT OF THE IdU1;ILSEO 15'6TER D:ST'1CT: <br />f hc:ebp apply fo: the usc of walc: in accordvacc e•ilh thc rvlc. and regulationc of <br />: N.ukiltco Waic: Districl. <br />Du:ing thc time thct any o! tne wotr. :r.cins mop bc tcken cp by rcason o! cny im- <br />�vemenl au:no::acc 6p ihc DisL•ic. i^ or o! aay st:ee�, rood a clley in which fhey may <br />ve beer. laio, the Dictricl x•ill not 6e required to furni:n wctc dur'iS ihe progtess o: <br />cn improvemenL• to any consumer who.e supply may t�uc be cut od, o: be licSle fa: <br />)' dmnage lo: iL (oilv:c so to do. <br />Thc owncr shali Ur liablc for any da agcs to U�c cc:vice eonne:tioa � <br />i r <br />.OPC1iT1' DESCF:ICTION: �' �� � �/ ��� l ��' al-s <br />)DPesS: �O OCi c �i ,�%,.'/vL � ��•, �OC <br />❑te si:r o::cr�•icc ''/ �� inch . .'� i / _ . <br />t�^,L�U '� _ F <br />�-� h�t becr.:c:civec v.•ith !his c,�alicctio�. � <br />� ie Fremises cr� to 5c used as a"•/�•�/� % ,i�-�/7Q.-C�<-Ci <br />i � <br />ie cv.•�c: c; the p:e-ises is( [��t_C�a "�// l��'/_�ry�%'S-r�,��� <br />-, -, o y � -, � <br />ie c�ent ic S 5/' i =� <br />The DuL•ict teco.r.:�en�; iaslallmion ol c p:e.cure reguleting vclve. <br />Applicant acinox•ledges inlo:nation ec lo ihe recom:::enda:ios and ... <br />�rees to iastall c p;essure:c�uloting vclvc <br />Sicned <br />�ctinec to i.^.s:aL c <br />$IG.^.e� �! <br />vch•c <br />It is vndcrs �,�t �1 conncctions, inc'udinc mctc: and mctc: bo� shall rcmain thc ptoperry' af <br />uF.iltco R�atc�?»s,r�t. <br />J U L 2;196B��a r.0 '-, �r.'� . o„�:,�� <br />MUIQL7E0 WATEf; "D�ST: -� _c ��� �� � r,-�7�� ��u <br />°�. G.C.C���,L`� �O�GC � , hgc�: <br />C/2. 07) <br />TOTAL MATERIALS COST <br />FOR OFFICE USE ONLY: <br />DATE COMPLeTED _ ______ __.___ __ _ ___ <br />POST TO ACCT NO. .___ ____ . <br />�RK ORDEP. NO. CJ O � �J�% <br />fE _�_ �`o <br />=0R METER CHANGE ONLY <br />4DIIJG <br />- ■� <br />9. NO. -___—_ <br />ADING <br />�. _ -__ _._----�----. <br />F. N0. ------ <br />REPAIRED � <br />:QUIPMENT RENTAL <br />NAME I COSl <br />J. _�_ <br />JCK <br />i50R <br />00 <br />TOTAL EOUIP. I�^ •C�� <br />LABOR <br />��ST <br />�� l.�s�, /doo <br />70TA� LABOR COST I /� `� <br />TOTAL CHARGES �(� • S /___ <br />ADD �(�4�OVE3HEAD _./_��. �p�-L <br />TOTAL OVERhLL _____ _ __J � _U _� . __ <br />CUSTOMERCRcD1T ____._________ <br />