Laserfiche WebLink
.— <br />r� No...�).��". r.�' <br />P2UkIL'CFA \�TATER DISTRICT <br />' SNOHOni1LH COUNTT, F'.45HINGTON <br />0 _ 4�v <br />� Q • p:�P��ICATION FOR WATER <br />��� �0���} blanks must he fille� in or crussed uut <br />\��' �1P�� <br />0 <br />� ,A� ��5� illvkiltco, R'ashin . 194........ <br />� Fton . ................................ . . .. . . .... .. <br />' TO T!iE SUPP.F.1!VTEATDENT OIP THE DIUKILTEO R'ATER DISTRICT: <br />�� I hereby :ippl�� for the use ot �cnter in necord:mce :: ith the rules and regu- <br />� lutions of thc \lukiltco Watcr District. <br />i DurinF the time that nan• of the icna�r mains mac Le v�l:en up by rexson <br />ot anp improvcm�nt� auihorized 1�}' the Ilistrict in or nf any strecl, road or <br />j allcy in �vhich the}� rt:ny ha�•c becn Inid, tLe Uistrict �eill nat be requimd tn <br />fm�nish �cater duriu�; the progress of such imprnvements to nny cnnsumer whosc <br />, snPply m�p' th�s Lc cu; off, on c� IinLle for nnp d:.mu7�c for its ::�ihire so tu do. <br />:1r��icntio�n No .............. <br />F31 o c k ................... ":................. <br />„�—. <br />./.. 3 ...... ............ <br />�— <br />........Street .......__ ........ ........ <br />��.�e. -�� <br />............... ... ... . ......... <br />1 OI.L�.--..n:��•�.�k�....�z�......���'/.:<-�/� ............. <br />3, ,, / • :- , . <br />St.d.c sizc of tap: ...../. f}............inch. . � -.--y,_�. �; . - . <br />�,�, , � ... • <br />$............V..�'...�.�.........._.hns 6eeu receiced e•illi this applicatiou. <br />............................................................................................ <br />Superintc>�deut. <br />'Phe premiacs arc to bc used ns <br />The oH�nm• ot thc premise= is ...................... <br />The :i}�ent is........... <br />This UPj1IICllC1011� :lILI100�'Il si�ned, shall not bc bindin� upon the llistrict <br />until :iceepted L}• the Su�ierintendent of U�o- \Sul:iltco )�'aterDistrict. <br />, . ��; <br />/.�- --..—. <br />SiRnctl...�.^..-�r`�'rili:r.' .._ .....r..'...........`_G.�`�.� :................0¢�rlGr. <br />,�L�j� - <br />1�Y—.�r..._---.--.,.<....�..".....�—�-�.....—�--5 .... .............n.v�>�c. <br />...... �� <br />I <br />:lccepted ..........................................'-........]!ld........ By....._................................................... <br />Stq�crintc>tdmif <br />