Laserfiche WebLink
�r � r <br />;". 1 <br />�� � � `� � <br />Tap No.....1!.wr.'........c/ <br />A�IUKILTFA ��11ATER DISTRICT <br />SNOHO�llSA COUA'Tl, VPASiiITGTOh ��� <br />APPLICATION FOR VVATER <br />All Llan�:s must be filled in nr crossed out <br />� � ,,� \IvLiltcu, SVnshinRton . ...................................................._., 194....._. <br />1'0 TIIF. SUPliI;iKTLNnENT OP THF, 11UI:ILIBO WATER DISTRICT: <br />I hcreb}• uPply [or che use ot �euter in nccordancc «•ith tiie rules and regu- <br />Intions of thc �1td:ilteo Watcr Uistrict. <br />� Duri�� the time ch:�t nnp of the w•utcr m:uns may Ue caken nP Ly rcasai <br />' of mip impro�•erir.nts iw;huriud U�• the Distrid in or oC an}• strect, rond or <br />� .illcy in «�Uicl� thep maF hnve Leen lnid, the I�i;cric. �eill uat be mquired to <br />' fm�nish «:rt�. dm'ing tiie progress ot such im��rocements to un?' cm�sumer x•hose <br />'� supply m::p thus hr cut off, ar bc IiaUle for any dmnagc for i.s fnilure so to do. <br />Application No ................................................. .� <br />1, <br />�— <br />. . �p....... Lot......... - :.s ....... ....... <br />. Bloc6 ................. .......... j ...... _............ . . <br />...... � �1d <br />......:_�:" <br />,, /� r_, <br />C-1� � ^ � � / - .�- �.7 - str��L---� . '"— <br />,� <br />. <br />" � . .�- <br />• ,s� •� <br />. ' <br />_ • <br />Nu......_._......a_�:...-:'1-L_`:...-'� -�-.�.:.. `—. ........................... ................ ... <br />'_ <br />........ .._...... <br />L.o�.a..o ��t o., -f-A.n _.... ................ <br />......... �......._.. ._. ............. <br />..... .. ................ <br />� � , - ,/ v <br />�� ,..� � .. <br />................................... .. ..... .......... .. .... _.- . ._ _ .. .._ ........._.. ... ....... .. <br />SL•�te sizc tap: ......._f�.. �' incL. <br />� ..� i �/...... <br />e ..............i.^.�!. ........_ht�c�been recei�•cd A�i:h this npplicntion. <br />� � . 7......._�.. ... ...... <br />J� ..................._ . . .................1..................._.- <br />��?' Su iarir.tcridcr.t. <br />�._.�! ��j. �-��"_d .., �r'� i�� <br />� = , � <br />7'he premises nre to be used as a ................................C�........:.........._................. <br />r.... . <br />The o�encr ot the premises <br />7'Lc u�ent is .................... <br />This anplicatiou, •ilthou�;h eigned, shull not Lc bindin� upon thc District <br />�u�til accrpted Fc ihe Superinieudent of the iltul;ilten R'ntcrDistric[. <br />Sil:ned._ ... ....................................................................................Amncr. <br />B\• ........................................................................................�1 qc��f.. <br />:�reepted .................._........_..__...__...._...lU :........ 13c.._................... ......_...................... .. <br />Suptririfm!dc��t <br />