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�Lft�i"1'ION NO. " � �� <br />ACJOUI7T I:O._ <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH GOUNTY. WASHINGTON <br />AP�PLICATION PC�^ WAiER <br />�P� <br />Mutilteo, Washinglan_—� '� --� 19 y"� <br />TO TY.E SUPEP.II�TEtSDENT OF THE MUI;ILTEO ��'hTER DISTAICT: <br />I hereby apply for ihe use a! wale: ir. a:ceraance -aith ihc rules and regulations o( <br />the Mutilteo Water Disinct. <br />During the lime ihat any ol fhe wate: mains mag be mken up by reeson o! cny im- <br />rovement autnon:ed b the Di�trict in o: o! any :ireet, tood o: alley i� which tnep mey <br />nave beer. laid. fne District w•i11 nct be requued to lurnish e�ale: during ine progres. o.` <br />sucn �mprovementc to any consume� r.hose aupply may thus be cu; oll. o: be lianle ia <br />any dama-.e lor its failure so to do. <br />Thc owncr shall bc liabk fo� any dama@cs to tl�c scrviu canncction. <br />/ <br />RK ORDER NO. �`� -' ' , t <br />•E—lo—/G—`3 — <br />'OR �dETER CHANGE ONLY <br />�DING <br />I. NO. <br />4DING <br />PROPCRTI' DESCRtI'TION: S 1� �c'r w <br />�. NO. <br />C'� Lcr ,�-,9 �i l 7 f�Q n n µ[� � �- � E�2e,i r-i — <br />� <br />�+v � <br />ADDRESS: f'-1,��'�.�`% MDI�%T!.-I fA ��.�A 11 <br />Stete size o1 sen•ite �(. �_ inch <br />� j�T�i� L'� hcc becn received with fhis apptica:ior.. , p <br />Tne premi,es are to be used as a.�7�1v �e,:L="�l� """��� '�'C"y�"�'C rci n� <br />� _-_ r�_��__��% � - <br />Thc owne: o( tne premisec is _ 7=^=—yE='�='�"'' � �` -^ '—�—"` <br />lklc C:lC:lt iL_ '�"�i �.v `("laf �1 �.1-C�n<�9 !l ' � .. . . . -. . , <br />ihe District remmmends instaliation oi a pressure repulatin_q valve. <br />i,ppticent acknou•ledges information ac to ihe :^conmendat�or. and ... <br />harces to instail a pressurc regulating valvc <br />5 <br />Decline: to install <br />S�oned _ <br />sure regvlatinq valvel,` <br />� �. ��� <br />•r_ <br />It is understoud that all connectionY, iiTlpdinF meter and meter bo� shall rcmain thr pmperty o( <br />T illca N.al�r Dicttict. � -- . ' ��3 �: J-� O�' <br />�: r_i c� L ° <br />e ['1 Signed _ `"�'-s� �.-�% t-- --�- , Uwn�. <br />I,:/�� (! ° 19'�S`f r,aa«„ ��% 1–c ��- /�:._� 4 y' �r . <br />r� " 1983 - � � <br />IK1LTcG VdkTEk DIST. Ev`3� ^�- s, � G: �•y ��< �:' r" L haent <br />s iEF DIST.haa«�= �--------- <br />TOTAL MATERIALS COST I�/. C I <br />FOR OFFICE USE ONLY: <br />DATECOMPLETED _ �-'�'' --------- <br />POST TO ACCT NO. �1'�3''� � �.i `! <br />i5Y S� i <br />---�� � - ---S-�.cc'--- <br />REPAIRED � <br />QUIPAIENT RENTAL <br />NAME � COST <br />CK <br />iOR <br />LABOR <br />, � ; r� <br />/. '1 i <br />.S _ <br />TOTAL EOUIP. I,��i . _� <br />COST <br />C.' <br />U� , c�Z, <br />TOTAL LABOR COST I � ��'` ` <br />TOTAL CHARGES _ � � y• �' � <br />ADD � � 4 OVERHEAD °'� 7 �' � <br />TOTALOVERALL .�..Z �� SS <br />CUSTOMER CREDIT <br />