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AP3::i-.^.ATIOP: iJQ_ '-�_/-- -- ACCOUKT NO. �2� 127G�I'J � <br />..w� <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />23 <br />APPL[CAT'ION FOR WATeR <br />N.ukiltec. �Vashinglon �� :-�'����i—. 19� <br />70 THE SUvEk[P.TEWDEC': OF TH- IdI1C:LTEC N'hTEF�DISTRIC?: <br />i he:en}• app!}� io: the uso o: aater in accordan:�= wdli the- rules and regulatior.s o't <br />tne b;ukiheo Vrete: DisLic!. <br />During th^ time thQt ar.y o! Ihe wate: nams may 6e taF,er. ap by rca�on c` ar.y in:- <br />provement cutnorized by tim L�;tnct in o; o! an}• atre •et, ro�d or alley� in whicn fhey may <br />hcvo becr. laic. tne Di;L•ict will aot be requirec to e¢ni;n waler du:iag ihe progrecc o: <br />cuc� �mpro•�cmentc �c eng consume: w•nuse suppl7 r.��y tnuc 6e cw ol:. o: be li�bi,. ro: <br />ar,y dcmogc 10: it_ taiiure co tc do. <br />The owner shall Uc Gable fo: anr damages to Ihe ser�'ic:. cunneetion. <br />PROPCRTY GBSCIUPTION: �'. 1" �, �' � 1 (' � S-n � r <br />I <br />ADDRLSS: G '� �-I �,� � _^i-° ' R f -C_. <br />Stmc s�zc of senace � � _inch -��-���-- � �—�--- <br />1 <br />;_� -� �� . lh' h�s beer. rcceived v: itn this epplicetio:. <br />': ne: rreT.ises are to be used as a_,�..z -.-. , 1,1 �1,. ii�L,±__` \� :^ � 1.,: tpA <br />r <br />'ii�� ev:ner oi tne F�emises is �Ct ��� ��'S`._',� _ <br />'ic� �aent �s <br />Tno Dis:r:ct recom::erdr i�;icllot�on o'. a preasu:e te?uiati�g vo!ve. <br />�.cplice�i acenox•le�veu :�io:netior. es to thc reeommenti�hor. anc <br />.�a:ecr. to insicll c p:eesure rr-uieting calce <br />Sianed <br />_�eclines to install a`ressurdre� tirg rclvGl <br />:,ianed � � '� � '� �- <br />✓—�r'"�/�'�.'.-L_/ — - <br />i <br />It is understood Ihat all connecti�ms,��luding pieler and mrter bo� shall remain the Properry� oi <br />�IuLiltrn \Catct Dislrict. 1 (/ <br />. r �'"ti � / i , <br />� u:` : .: .�4+ Siqn�d �'��"Y% I �i_ _ ---� -- ...Ownc: <br />_ � ` � <br />.. �y � � � .4ddres� I �-�1�Y�� '- �'l'..��. c �` �- <br />� <br />Bv <br />y:.l'. ,..,_. .. . _. �. .hc <br />r_ + <br />T07AL MATcRIALS COST � -� <br />FOF OFrICE USE ONLV: <br />DATE COh7PLETi:D _ ��---� ----- " - <br />I 3v°�l ��3.7�i <br />POST TO �.CCT NO. .--� � �—� � <br />�`i4 l: 'I <br />..._ ��l < --,� l`:----- <br />.4qent <br />