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10201 MONTANA RD 2016-01-01 MF Import
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10201 MONTANA RD 2016-01-01 MF Import
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Last modified
4/7/2017 5:28:16 PM
Creation date
2/26/2017 12:21:45 AM
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Template:
Address Document
Street Name
MONTANA RD
Street Number
10201
Imported From Microfiche
Yes
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r��_ <br />Tap No....�,-.F%'.�r ............... <br />MUKILTEO WATER DlSTRICT <br />G� =/T <br />SNOH0.1115h COUNTY, V✓ASHINGTON �� <br />�—��� l� <br />qppLICATION FOR �NATER <br />p11 blanls m�at bc fillcd in or crosscd out <br />� <br />[/ 19:�....:� <br />, ........_., <br />� . ... __... <br />Diukiltco, 1Yashing»� ....--..-. <br />��' � - � YATER DISTRICT: <br />TO TIIE SUPJ:RINTENDLNT UF TFIE ML6i1•T�O <br />I hcrcby aPP�?' �0r il�c °�c of watcr in accordancc �vitS the rulcs anb r�ason of <br />of tLc \4ukiltro N�ntcr District. <br />DurinS tLe timc that anl' of t}�i �eatcr mains m�y be faacn up y <br />mnsumcr whose supP�Y may fhu; <br />hr•c bccn lxid, thc Districi ��'ill uot bc rcquircd to furnish w'atcr <br />an�• improecmcnt autLurizrd Lr thc District in a* n[ any sttccq road or a cy �� <br />w6ich thcy m1y. <br />durinc tLc proSress of such improccmcnu to �� <br />be cut o((, or be iiable for anp damage for its iailure so ro do• <br />� '�: J— <br />_.� - � <br />, <br />ppplication 10._.. � , � / <br />� . /� , .� ....._ ...._. <br />n. ��v.,.... . ._ Add,� .�.r�....�t6�' - <br />✓r _.........._. Lot: � . -_ ^ , <br />IIIocY.__..__......� ................ ^ . <br />�- ( �.r�. :,..� ...._.........__............_. <br />. . ......... . ........... <br />10.. <br />� • �.:� 4 <br />......._._......_..........___ .-� � <br />✓ < .....inch. �:�}�,!l �. ��C)� <br />; zc ot tap: .---��.. <br />tatc. `_ .. ...... <br />� r� .._}ias Uccn mcci��cd w•ith"this-nPP�4°}4��•j:;5;, <br />S' �-_......__ . ... <br />......_.. __............ <br />._......_ .................SuPerinten rn:. <br />_ <br />U� <br />; �,..� .�:.�,/_.r � :_- _.... . <br />Thc prcmiscs arc to fic ��=c� ��/��i� .!�- <br />-�.... d.-. :,.-1-c... . _ ........... . ... <br />✓.... ..... .... <br />Thc owncr of thc prcmiscs ts... <br />. ..:.. ..._. <br />cnt is. _ _... __....._.......... <br />Thc ag __....__._.__.. <br />This nPP���'tion, a�tLoug�i signcd, shall no[ bc 6inding upon the District until <br />acccptcd by thc SuPcrintcndcnt o( tlic Tiukiltco �1'nt�r District. _.......Owncr. <br />Si���d._ ...... . . . . ... .. . � <br />_._ <br />� i �.�-��j��- ..Agent. <br />� . _ .._....... <br />i <br />�: � � <br />� ➢y._:3_„!G7..o.1'.! ... <br />.. . . . ........ .. <br />___.... <br />. ._......... <br />........, 19.... _._ D�•..._. . ..._._..Superintendrnt. <br />Acccptcd -.-. - .. <br />1'�- 4_*%z� �t� �i:_ /� .. . _ <br />�,.,: <br />r:, '- >.. �'i. �.i� . <br />._, . . i . � .f, <br />
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