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hPPLICnTI OI7 <br />. � <br />� <br />I" _ ACCOUI�T l70. G�G -/SS 7��St%= <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTOM1 <br />QPPLICQT60tV FOR WATER <br />�� <br />,.. _ <br />� <br />lduiilteo, Wost�inqton :� `-' C . 19—'� <br />TO ;HE SUPEP.!i:Tr�;prr;� pr THE IdU1:ILTEO R'hTER DISTRICT: <br />: iiere5p app17 lo: the use c: vnle: ir. cocordance with the rules anc regulalion: ol <br />the tdukil�eo Wote: DisLict. <br />During ihe time that any o; the water ianins mag be faier. up by recson ol w:g im- <br />pmvemen; outha•izec by inc ''astnc; �c o: o! ¢�p street, rood o: ¢Iley In which ihev mav <br />have beer. laid. the D:,tric: aill not 6e requiro� to 1u:ai�h x•ate: du:in5 ihe proaress o` <br />cucn improvemenln 6-� ar:r cenc�:n�: w•ho:e supply ma� !hus bo cu; cIC or 5e IiaLlr ier <br />anp camagc lo: ite lail•,:re so lo do <br />Thc ox•net shall be liablc (o� any damagcs !n lhr scrcice connectinn. <br />�: i �� <br />PkOPf.RTl' DESCItIMION: �'�i=' � � ,y_2L-^�v� ��-y� <br />� <br />AD'JRESS:_��' � C % -�!f--r-.-C.-C-t' I :--tL� CC.-CL-C-rc-c�_..:� <br />State :ce o! service � � { inch <br />S_��s'n�' ha. been :ecaived with ihic applivatio.^. <br />The nren��ises �:e to be used as o �/'=^�L �e� '-'Y' lC � �c-�-c /���c-+-C-.�.� <br />� T__ <br />I'nc owne: o! the aremisec is _%C�c ;�_ �� ) C�-c� ( <br />Thc aqeat ic_ Y J�!- �: L:�C- <br />7ne Cisf:ict ,-r_ommendc i�stclla;ior. o: a prec.ure tequlatina valve. <br />hppli:an; acEno�rled�es inio:moLo:. as to th^_ :or_mmendm�on anc <br />Aarees fo incicll c pressure:enulating r�lve <br />Z:q :ed <br />..�r!i^cc to in.ta!I c F �ur r� ng�./ � ------- <br />� /� ! <br />S�aaa� __ �_ <br />c � <br />h is understooJ i hal a l l connccuuns, in: lu dinF mcict and mctcr bos shal! rcmain thc prop^rty of <br />11uLiltco R'�te: Di«ric:. /1 � <br />r . ' i'� / <br />`� .-� . , Sianed /���L�l�=��,,.�%i�-i _ <br />r%� O�o�o: <br />- , .. �i,iCi: ndcress /p: C �. ' � %`-1 �/..t-�-e_. .S � <br />� '� �'�� � <br />(;iL:',;_i_;I VH�:ii G';Ey c.�c _ `. Aaon: <br />� Addtess C �•L.G �< : � i-��C � <br />I <br />TOTAL MATERIALS COST I ;' � � � � <br />FUF OFFICE USE ONLI'. <br />D�Tc COI.iPLETED � �1� ' � � � <br />- � � -�--- -__ .. <br />POSTiGhrCTNC. .:.�'�v5 �.�.L^Y --- -_ <br />! ;il ! �� ' �-I <br />_ �„ -��..._._ .. _ <br />T0T41 <br />ADD . <br />TOTAI <br />CUSTt <br />