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i <br />AFrLIChTION t7O.._- �� •�____ hCCOUNT I:O.L/.� �'�- %�S/,�OC <br />'" � NUKILTEO WATF:R DISTRICT <br />SNOHOMISH COUNTI". WASHINGTOh � t <br />� <br />APP!lCATlON FOR WQTER <br />idutilte:. \'iashingto : ___ __ ' � . 19 `—� <br />TO THE SU?EAi::Tc:tID:!Z' OF THE 1dU1:1'T'c0 1CI:TEii DI57'"rJ�L <br />I he:ebp cpp:}' io: the use e! waler i:. acror.i^:ico v,�itn tne ruiec end reyuiaticns o: <br />ihe N.ukilteo Wa�er Dist:ic!. <br />Du:ing tnc hme lhot ¢ny ol the Wpte: mmas mcy be taY.en up by reasor o! an� �m- <br />provement auti�o:izec by ihe Pistric: is. or o! any stre�!, roac o: alle}• in whicn they nay <br />ncve 6eer. Imc. th� D:,L•ict �+•il; no; bc requirec to iurn;ch v.�atc during fhv prop:e=_s o! <br />cuc:� �mprovemer.t� Ic any consumer whose supp!y may tk:uc �nc cu; ol!. o: ie L�oi�� ;cr <br />cr,y damaoe lor ih laiiurc ;o to do. <br />7'hr ou�ncr shall br Iiablr far an)' damagcs to lhc s:rvicc ronnection. � <br />�' r <br />Pi OPGI:T)' UHSCILII'TION: '� C =_ '7S � �,g,C.j,.o-'�-n.�.-L <br />-, ..0 <br />�,�..%�. 'f�„ '. ��i,.lt-�C�l�-� <br />� -__- <br />ADUAESS: /�� �! � � `?� f-c. _: � -� ��-�CL G! t.c� ,_c_c_ <br />? � _.._ ... _ ___.. <br />Stote si:c oi service ' inc:^. <br />S� '�.;,_�G � n0 has beon recelved with this applic�tior . <br />r' i - . <br />TneP:erniseaa:clnbcusedasa .3�,'�t�'�.:- �'-�-/- :-,. • /. : �' � � %=_�' <br />v.�----'- - <br />- � --yr_'-.'- _ _ . <br />Che ownc o.` ;he premises ic ,'� LL-c-+ '/��=�� =i.� __ <br />Tne aaent is .%� �- L'/ '��-L- <br />':he Pi;tric: recommendc in;tatl�tior. o: c p:es:ure reaulatin; valvo. <br />Applirant a:'tnowle�oe� into:matior. ac to lhe recomme:�dc8on caci ... <br />harees te install e pressure re ;uictin, eaivc <br />S�gacd <br />Declinec to ir.stall a <br />Sin�ec -�-� <br />It ix tmdcrstoud �hat all com�:ctions, in.ludinF mc;cr and mctcr bo� shall rcmain lhe p�operty of <br />\fukiltco 11'atc� Uistrict. ,/1 <br />l-1' f. . ='��l �C � G�i�- <br />• -- JI]:1C.'� ��^ ��N'p^ <br />`A <br />. ' .. � �;j�:�� hdriress :_� �� 5 ' "T_� �/tf.C._ S �C _ <br />'i��i�-t .ir-:•� --By �?'�i�i%t. � Agc.-,t <br />..i.��l':� �cr�I.:L .. <br />�y �.:. Addtese �' � ����� � ' � `� f� Ci , <br />TOTAL MNTER��S C��T I�s <br />FOF O�FICE US`- pNLY�. <br />_7.. ;;=� ._ <br />p4TE GOt.4PLE7ED � -�—�— "- U �I.�� -�. . <br />1l"1 ?4c�_----- <br />ppSTTO:.�.;.7[JO � 1� ��.���1 _ <br />—' u ti = <br />1P_- --- --- -- -... <br />