Laserfiche WebLink
/ r, <br />APPLIChTlON NO.---_—' lG' ( - hCCOUt;71vO�J_ �%-__d:y9y�i�� >�E. <br />l�� . . <br />MUKILTEO WATER DIS � ��ICT !4� /D" <br />SNOHOMISH COUNTY. WASHINGTOIv <br />APPLICATION FOR WATER I �`3� <br />M.u'tiltco, Washinglon `� �� —_ _ 19 ���.2 <br />TO THE SUPER�I�TE]�DEI4T OF TtiE IJ.Ui:ILTEO VJhTER D15TRICT: <br />1 nereb� opply io: the u.e o: w�te: ir. a:co:d�nce w�ih ine rvles and regulations o! <br />ihe tJ,utiiheo �5'at^: Di;tricl. <br />Luring the line ihnt ony o! the wotc: nair.c may bc toker. up by reason o! cnp im- <br />provemen; outhor.zed by ihe ✓isLir! ir, o: o! any strect, road o: allcy ir. wnich they may <br />heve been laid, the Dist•ict wil: .iot ne required lo furni;h wat_r du:inq the Proq:esc o1 <br />suci� �mproveme^ts Ic Cny Co�sume: U'hOse suppl]' mo}' Ihu:; Le .^ui ot;, or be li�bi� ix <br />any domage fo: its tailute so to do. <br />Thr. owncr shall bc lia�'c for any damapcs Io Ihc scn•ire com _ction. <br />rRorr:ia�•v orsc�.irnon: �.ot ,� �0_h GOCk �I�or�- <br />n ��t <br />;,DUR�ss _S�l9 i1`lon r�n �. _ <br />St�ie size alsc:vice 3 � " <br />inch <br />$�.�C� oU <br />t _4�5 beer. �cceived w�ith Inis app ication. <br />Th^ premisca arc to be used as a���ty�`'��I^Yl L 1_� <br />J <br />The owner oi the p: em'sec r_ __. A. � � _,��1[}�(` �_ <br />iiic a9ent is._ <br />The Distc:t recommends ms�allatwr. oi a pressure rep�.�latinq v¢)ve. <br />Applicant acknowledqes mfo:mation as to ihe :ocom nendatior. a�d . <br />Agrecs lo instal; a pre�sure rcaulatir.c vclvc <br />led:aec to instaP�ressure mnui i valvc <br />Sia-.ed �� G..�f� <br />� — <br />I! is undcrstuo ih�t all ronncctiuns,�ng mcic: and mrtc: bn� shall rcmain thc propertp o; <br />�tuAillro 11'atcr Uistrict. —���/ <br />� ['''p '„7,��cU�/ xC <br />rf"v: d V Sig:,eJy___ �� , Ownc: <br />/\ <br />t1��;Y ?, i� 19F5 r.�a�����LN�c�`v1���t�E � 1_�-I <br />Jlll�',ILTEf1 `J:f�TEk OIS � 5j• — 1]]Cti,1'��5�..� l i ��= `i r-�,�'l C� a9��t <br />r,aar�s�—�.�5 �- 3 ��^,� --- <br />3jF �,ss.BC� -5 <br />IJ���I�INI�ClIIMLJIiVJI III �L� <br />FOR OFFICc U5� ONLY: <br />DATE COIdPLETED _ ._. _ _ _ ..--- ----- <br />POST TO ACCT NO. _�%�S— �• 7c'-- <br />9. 60' <br />� -$ <br />�Q. FT. � <br />zc-ol•�9zc�v . <br />7� <br />• <br />. <br />� <br />C�G, y9 �c�o <br />� r� u� <br />' �Q.�t� <br />� <br />�.OT -�- �o <br />9800 �. F�'. � <br />\ <br />L�� <br />h 1') � <br />� , 7 <br />`, ✓! �` �„�./i <br />- 70•D�� -- <br />�4, ��„ �r <br />� <br />cr1 <br />TOTAL CH�/ARGES __ � �' � G <br />ADD ( f[ 90 OVERHEAD -�- �"� <br />i G} ��( J <br />TOTAL O\'ERALL . ._ _ _ � L�-- <br />CUST0�IER CREDI i <br />