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�� n� <br />:,a?urxtion tac.__� � _-f — n�covnr No.O.�C�- /� ' <br />MUKILT�O WATErZ DISTRIC7 <br />SNOHOMISH COUNTY. 'NASHINGTON � <br />a <br />APPILICQiION FOR WAiER <br />tAuiilteo, N'ashington__ � � - ��-S -� �9� <br />T:� `RE Sli'rEiiltdT£Id'J�I:'. OP THF. tdUf:1:.TE0 WhTEF, DISTRICT: <br />! i.e:eny ap,^.i.: ier tne use el waie: In eccor�ance with I'n= rules anc :egulations o! <br />tnc h4ui:iheo Wate: Dist:mt. <br />During tne time fn�; cny o: the wate: :n�ins mcy be taker. up by reason ol ar.}� im- <br />provement authorixec by the 'vict:m: m o: cd an}' s�reel, road o: �lley in which the}• ne}� <br />nev�• been loid. tn= Dist:ict �eil: not be re�uirec fe (urr.i:h H'aler du:mg ihe p:ogress o', <br />:ust: �mp:o��emenl:. ic aoy censumer anD:n =upp'.y :ne•; Ihuc be cut o!1, cr be I:obU lor <br />any damagc lor its laiiure so to do. <br />Thc o���ncr shall Uc liab�c for an}' damagcs �o lLr scrv'ice mnncction. <br />P�tOP[I:T1' Uf:5CR1(?IO�: �`nT � � i� � ru�L, C%i 3� <br />OS� p <br />hDDRESS: /C�S7�=1 /IOSFWnt�D ��11r_ <br />Stale cize olmervice ���� inch <br />� �.�1aD ���/1 nas been received w•itn Inis applicetio^. n � <br />%�-Civ, �_ �c�. .. 1i �i..C/il 1�.cn-ct <br />i hc premises arc te �c cscd ¢; c I <br />Phe awne: o! tne p:emiae: is ^� "�^^-� -'c en � — <br />Thc agent <br />The District recomnends ins�allauo.-. o.` c pmssu:e reouicting ��aive. <br />A�pli:ant ocknowled�es m�o:matio:� a� ic the recemmendctioa and ... <br />hcrees lo install c pressure re�ulatina vcive <br />�tone� <br />i:�ec6nec to instoll c pressure teoulatina <br />:.i^::c� �—/�'��'.�- /.<� — <br />/ C/ <br />It is undcrstoud ihat all conncctions, ioCludin mct and mctcr box shall rcm�in thc propertp of <br />Vukiltco �\'atc� UistricL / � / <br />S�g�e3 �_(G�-�-� �-1_'1._��/—___. Ov.�nc: <br />("'� .' . � �.' i�ddrccs � �J.cj �� � ii��C '��,�—.�9� <br />� � Jl". S� 7 �.c.ti'�' '���.�_'�� ___ . f.nen: <br />IJ_�. <br />t,aa:e� �5-' i . �;� <br />, 'i�� _-_� . , ".�: I �:'- – -- <br />TOTAL MATERIALS COST I I�� G'� I <br />r'OR Or'PICE USE ONLY: T <br />p4TE C���IPLETeD _._ � , '- �' ' ----- F <br />°OSTTOACCTNO. .. ,.� .'�:•�' �rj,-�`___. 7 <br />�. - C <br />