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10204 MONTANA RD 2016-01-01 MF Import
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10204 MONTANA RD 2016-01-01 MF Import
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Last modified
4/7/2017 5:30:34 PM
Creation date
2/26/2017 12:22:09 AM
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Template:
Address Document
Street Name
MONTANA RD
Street Number
10204
Imported From Microfiche
Yes
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`_—�--�.: <br />Tap No...� ^ . ... <br />�—' MUKILTEO WATER DI57RICT � �` ' J � <br />SNOHOb115M COUNTI', �'�ASNINGTON <br />��� <br />qppLICATlO[�! FOR !•NATER <br />p11 blanks must 6c fillcd in or crosscd out <br />�/ — .> __... , 19.�c-,5 <br />_ _. <br />TfuAiltco, \1:�.+hingtan, --.- <br />TO THE SUPERINTF.A�ERT OI' T1�ti' TtUSILTEO 1\'ATER DISTR � <br />I ���r���. �pply for thc usc oI w•atcr in actordancc �uth thc rules and regulations <br />of dre Tfnkiltco N':�tcr Districi. reuon o[ <br />DurinS tlic timc that anp of tLc watcr mains m�y Lc takcn up b}. <br />any imprnvcmcnt autLorized li)' iLc District in or of am• strcct, ro�d or allcp in <br />cluring ttl�ic proSrrss`o[f�sucL'i � �r��1��°D�urt1O '°) consu�mcr�t� i asc supp�lmmay thus <br />bc cut o(f, or bc liablc for any d�magc for its iailurc su to do. <br />_.._._..... . <br />ppplication No. -..--... / / �J .�s � <br />'% . .. Lot�E 7S/ �s.9/�.. Add�-'�I��C..��..eG�x..e..i'+"'r % <br />...... ... . <br />Block_ .--..... . .. <br />..... <br />T� s�r��t..__..... _........ <br />No....._ / c� � _�' � � -�t <br />_._. <br />_ <br />� o�o �. n:1on n.w ._ <br />_...._ _ _ <br />_..... ......./_�. ...............................__. ._ . . , <br />.i�y _ _ inrh. ' <br />Stntc sixc o[ tnp: �� �� i <br />� . ", <br />CC, .__. __ _..__ h�s 6cen rcccicrd e'i�L this applieauou. <br />�_�.. .__.. . ......._ . <br />..............._......_. <br />. __......_....._.._.........Sut crinlendcnt. <br />. .. ._..... <br />_.._..... / <br />� ��L-- <br />� c t <br />_. <br />TLc prcmises arc to bc uscd �s <br />� <br />G.1--aG��- __ .. <br />Thc owncr of tLc prmniscs is _....� 7A J' � P <br />. _.....__..._..... _... <br />. .__......__... <br />._. _..._......._. <br />..._......._ <br />_ ...... ._........ _..._ . <br />Thc accnt ts.___..__._..._.._..___..... <br />❑ccc�uc�dsbc���hc15uP�'riu��id �n of,tLc \[ulci ,co�lCatcr�Dist ict��n thc District until <br />i. ._ .. .._.. .� n. <br />Si�ic�l_. ... ....... _.. '-. . <br />- . . 7 l .... Agcnt. <br />� _ _.. � .� .............s � . . <br />+ � ........._._ ..................._.................. _. <br />... _ _ . . .......... .. _ . . <br />. . . . , �n _ Ilp.. .. _....._...._. _.S yerinfcndent. <br />Ar�'cptcd . . ... <br />
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