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L <br />l��Z �— <br />hCCOUNT N� —G � r <br />AppL� ON NO._�--- p�STRICT <br />MUKlLTEO WATER % <br />SNOHOM�SH COUNTY. WASHINGTON � �`� <br />ppp{,��ATION FOR Wa►TER 19� <br />Mukiltec. Y7ashin9ton <br />-g�'—`�--S' <br />TO THE SUPERl17TENDEWT OF THi MU����TEO WhTER DISTRICT.: <br />I hereby upP�Y �°� �ne use m v+oter in accotdance wilh Cne r��b aeason olaonp i�" <br />thc �duY.iltco wa�e� DislncL r�ay be lakcr. uP Y mo�' <br />ot lhe wate: main� street, :oad o: aIIcY ir. which thcy � <br />Dur�ng the timc lhai anY ro_ ress o� <br />provement aulho:�zed b)' 1ne Pistn^-� in o: ot anY o, �� �icotc m: <br />ahoce supP�Y rncg thus 3c cut cii. <br />havo been lmd. the Distric� w��� not bc required lo lumi.h M'a��' du:ina 1 � F <br />�ny�� magc fo•e� .Jlai uae so lo d� Tc' <br />Thc owncr sh+ll bc iiablc �°r �°`' �amagcs �o thc scrvicc connection. <br />�� k 7 <br />L�T lz� <br />rtcorsR'n' <br />�— <br />— n� �� � , <br />ADDRESS�.��Q� � _ _ <br />� inch <br />$tate siac o' ����'�°C lieotion. <br />g 3751[2—hos bccr. mccivcd w'��h this aP? — ' <br />S7 _ _ C_� , .,, � � �J _—'-- <br />Ti�c premises arc to be used as a__! �Z'^ `�--�_ <br />_��' �3��SJ <br />Phc owner o: the premises is —= <br />The aqent is��� �a��,e. <br />Tiu D�suict rerommends ir.stallauon o! c Pres.urc reoulalin9 . <br />l.pplicant aci:noe surere.tulaing`�alve� to the recommendotior. anc . _— <br />Acrecs lo inst a P� � <br />, l � �� <br />Swned �a�vc <br />Dc_linc� to ir.stall c F'�-�6'c rcaul�tin9 --- <br />S��ned P °i1 °f <br />It is understnod that al� connections, includinF mete� an�metei bos shaR rem��n the coF 1' <br />\IaAiltco N'alcr Dist�icL � O�•r.c: <br />PAID s;4:,�� z;:'�%���'"� <br />�l�c',� ��c�1--� R—y °-- <br />i.ddress , Facnt <br />APR - 6 1979 a � _�ti ` ��_d:�� <br />MUKILTEO lNATEP, DIST. <br />a <br />