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APpL�GAT10 40. �� ' _ hCC^"r�. � ' � ' - <br />�,�o ., <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON �\.. <br />� � w <br />APPlICATION FOR WATER <br />Mukilteo, Washingron 1" �� . 19�. <br />TO THE SUPERItdTEIdDE14T OF THE I1,UI:ILTEO WhTER DISTRIC7: <br />1 herebp aPP!y lor ihe use of wate: i.^. accordonce with the rulec and reoulotions of <br />the Mukilteo Wa�e: District. <br />During the time that cny of ihe wote: mains may be laken up by tecsor. o; any im- <br />provement auihorizec bq the Distnct ir. or ol any ;treet, roac o: a11ey in which Ihey may <br />have been laic. Ihe District will not 'te required to fumi;h watcr during ihe propress of <br />such improvements to any consumer who;e supply map thus be cu; oH, or he 1i�61e lo: <br />any dama7e lo: its lailure so to do. '7, <br />9'hc ou'nct Shall 6c liablc for an}• damagcs to thc scrvice conncction. s��( C �-�"� <br />PkOPGRTI' DESCRII'TION: ��r � �t� [> �^- ���� c� <br />�_eT �J IJi�� � �ANu+o � t.l�F2c �t� �i� 7. <br />IADDRE35: IUO �.� N�;,��,-a i��a <br />� <br />State size o! service �'-� _ inch (j 0 S53 5/L :% �� 7 er O l <br />5 1=3_L'� •OU has becn re:cived with this applicotion. <br />The premises are fo be used es a �k'�+ jCL •I &...J ,. f�t_ o-c J�_[..�LL. <br />r �� r • '�-� <br />fhe o�.ner o! the pre:nises iz �,"�-� �—f—��-t � � C�'fi �����a-�`n'�i- <br />Tne a�icnt ic JC-���� ��•_ Illa.inn <br />I jhe D`�trict rocommenos installation o! a pressure regulating valve. <br />ApplicaN acl:nowdedo^s inlo:mation os lo tLe recommen3atior. and . <br />Agrec:� to install a p:essure regulaling valve <br />St�:ned ---- <br />Dedinrc lo install p:es�ure�regulatina valvc <br />s����a -l;� '�eu•{ --- <br />� w <br />It is undcrrii+oJ"that all cnnncctiom„ includin� mctcr and mctcr box shall rcmain ihc propenp of <br />�lukillro 11'aler UislticL � , <br />ri /'� r 'I� / <br />�`�, �; Signed ��� � r _`I�� Y:'� � 7 ry`(YM� , Owne: <br />�� [� t � 6.d 1 <br />%1dC�iQ 6 1 CC� A� '�%`DIJ�4�J«. �'-a. <br />� <br />.�U� 2:. 1°�:i g�. �v Ub3cW , Agent <br />� (�'_IcQ Prk7�'r; UIS�. <br />� �'�� <br />TOTAL MATERIALS COST � � , <br />'OR OFrICE USE ONLY: <br />�ATE COMPLETED __, �l ^ I 2' �'''=_ ___ __. <br />POST TO ACCT NO. ! �-� 7y `� 3•`'�—��— — <br />1 S y �L y �S --- <br />—�^_L�-�_ � D "15 --- — <br />L. <br />�RK ORDER NO. _ ��- I Cn� <br />�E �-� _.�' <br />=0R METER CMANGE ONLY <br />ADING <br />F. NO. <br />iADING <br />). — <br />:R. NO. <br />REPAIRED G <br />cQUIPMENT RENTAL <br />NAME � COST <br />� <br />A. <br />UCK <br />E <br />SSOR <br />LABOR <br />�'�� <br />. � <br />TOTAL EOUIP. I 3, �' � <br />COST <br />� <br />n �� <br />TOTAL LABOR COST I ��.�� <br />TOTAL CHARGES � -�' �-� '� — <br />ADD / �- 90 OVERHEAD � /� � � <br />TOTAL OVERALL �S^ - � � <br />CUSTOMER CReDIT _ <br />, % , ` L� `;, iC. p, cje ,- <br />� �-� <br />�'� ' <br />� % P � <br />� /Li? r-1/��IC�/ <br />