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IPPLICATIGN ]d0. <br />..-^^ <br />I�� '�gG— ACCOUNT NO.G.20– lY.49� aO <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON I .� �Fj <br />t�� <br />APPL �CAiION FOR riIVATER <br />Mukilteo, Washington �� �----• �9� <br />O THE SUPERiI::'E!7DEN7 OF THE tJ,UY.ILTEO WhTEP. D15TRICT' <br />I hereby appl� lor the use o! walc: in actordonce with lhc rules and regulotion� oi <br />ie Mutilleo Water Uistric!. <br />During ihe timc th�t any ot lhe <br />aovemeat authon:ed by ihe Listrict <br />.ave been Icid. the DicL•ict u•itl not <br />uch improrcmc:,tc Ic am consume <br />my damage lo: iL• iailure co te do. <br />'� � ;� <br />RK ORDER NO. �7 --� � � <br />.E �_,2�_ v'� <br />�OR METEFl CHANGE ON:.Y- <br />�DING <br />wate: mains may bc ta'r.en up by reason ol aa}' im- <br />i:: o: a( any street, :ood or alley in which they naq _ <br />be requited to iumish water du:mg the pmaress o! <br />r uhcse supply �nap lhuc be em of:, o: bc 1ia61e la i. NO. <br />The owncr shall be liablr fot any damaccs �o thc sen'icr tonncction. <br />I 'ROPBRTI' DESCRIMIO�: ��� � �'� �� � `� r ^Z' <br />� <br />f Ob (� <br />ADDRESS:_ � `, c 1 ���= <br />Stalecizeofsc;vice �L ��=h [.`�CSS�ycc7co4pi <br />--, <br />E� �. 1�! ��-' hcs bcen received with Ihis applicatior.. ' <br />�GT� -��.� ���---'�— <br />Thc premises arc to be use� Q� c L-�– <br />The oa•nr. oi the premises is �}�1L ^ � �' � � "'� �' <br />� Thc aqent <br />The P:strict rucommends mstallotion o! a pressure regulating vclvc. <br />Rpplicant acl:nowdedges inlo:matior. ac to ihe recommendation anc ... <br />hgrces to install a pressure regulating volvc <br />S�qned <br />Declines lo inslall c pr � c regulating valvc <br />s��,��a—���M+'�.�—� � <br />It is undcrstood tnat all com�cctions, includinf mc�cr and ncict box slmll rcmain iha propert)' uf <br />�lukiltco 1Yaicr Uistrict. , � i- <br />P � 1 � �� � 1��.�i i ��/t`.��'Oamet <br />s�a��a � CZ__�.-. ---� <br />haa«,� / � —� �= � � � 7h i /✓ �?i o3 <br />u�+� i �sa� �����,� �-�A. �5��� �� �-��5� <br />B�. _ . Aaen <br />�►UKILTEO WATER DISb.aar�s5 ---- <br />TOTAL MATERIALS <br />FOR OFFICE USE ONLY: <br />UATE COMPLETED — <br />POSTTOACCTNO. "'�� r�� y-� <br />4DING <br />9. NO. <br />REPAIRED C <br />EOUIPMENT RENTAL <br />NAME <br />�. � <br />JCK <br />iSOR <br />TOTAL EOUIP. <br />LABOR <br />C�� <br />n <br />TOTAL LABOR COST <br />�J, vc <br />�. � � <br />�. <br />l <br />f <br />TOTAL CHARG�dS � IC � 7 <br />HOD I � �OVE+iHEAD ��• yZ" <br />TOTAL OVERALL _— '� � �' S � _ <br />/�-'1� 97�2u CUSTOMERCREDIT <br />C..��. �„/.>z — <br />