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� <br />7.PFI�L-n`.IOK WO.-- �'1-�-`--- -- ACCOURT idO.C���'-JS"�U .0 � � <br />� ' - <br />MUKILTEO WATER DlSTRICT <br />SNOHOMISH GOUNTY. WhSHW�TO� / <br />_ a, <br />QPPLICATION FOR WATER <br />, l/ <br />tdutilleo,\Vcshin�tor, / " � ____.IS �r <br />TO iNE S�JPERIPTENDE7C': CF TN� 1•1U1:ILTEO WhTER DISTBICT: <br />1 iir.eb�� npplp 1or t:�e use o! waie: in accord�nce with the rules anc :eoulation; o: <br />!ho lJ.u'r.ilteo �'lmer District. <br />During ti�r ur.ie inat an}' o: tne wc!c r^amc mag be taY,en u, by reason G cny im- <br />p:ovement authenzed �y ihe Distric; in o: oi eny cL-eet toac o: alley in r.Fich ihep :nay <br />nave bec.^. ia;d the PL-t:ml wil: nm be required to fumich wctc: du:inn tire procross o! <br />suc� i:iprovemenL� tc any consumer �+•hre supply �nay tnuc L-- c,.. _.: cr :,•. h:fnie ic <br />cny dcmagc ior itc icilmc so lo do. <br />The ou�ne: shail bc Iiablr for any danuccs tu thr srrvi:c mnncction. <br />PItOPLI:T7" <br />c � .� � -� C4 <br />,.r,���ss: �--. / i � �.-�c �� . �,,.,.: <br />. v.�....�. ..i scrvic= .��c/ ;n�� __--_-_- <br />$_1 � ���' ha; been received w•:In Ihis applicatiort ' <br />r �/ <br />Tne prcr.ises a:e te be used cs a' '��_:�,LCGi y!�_22L.�-G:�'�{_G �-r 1.0 <br />Y.' � `' 1 �' <br />The o��:ie: o: ine premises is _ �-nLti. 'tJf.L: �.✓y.� �� . <br />1 r� • _ � <br />•;n�.a,-.�ntis i�lYlicG_i"�.''C�c. •_7�7- ��%�-- <br />The ���.stnct rucomr.ie�do mstallcllon oi e o:ecsurc regulaLng vel•+o <br />Appli:an; ❑cF.noxied?es ir.ie:mchor. ac lo the recomnead�tion cn� <br />h�:ees to in.tall a o:ecsurc reaulatine valve <br />��4ce�— __. _ _--- <br />Jeriines tc insta/l{��,. p:essu:c�r�e�u/{/�tmn vo;ve <br />Si�n^ l{,'�L✓'%� �['�!-,�,',�,, "! — _-- <br />II is undcrsluod that aL' cnnncMions, includitu melcr and mctc bo� shall rrmain ti,: nrnnr:iy of <br />\tukihcu \Vatcr DisUi:i. <br />� f-i t L./ Sia�..� i�G/°�l.L +;,;�� 'r.i.-� . Gv:ne: <br />;;' �'; w :: i9B4���«ss_ `�?C3_ L�--�'Cc<< /.C-� �;' <br />c �--C�t, ✓�1C��� _, hacn; <br />I�IUKILT_0 N'ATcR DI�T. - <br />�ad;��� - <br />T07AL MATERIALS COST I/U % S� <br />FOR OFrICE USE ONLY: <br />DR.TE COMPL�TED _ <br />aosr ro AccT No. _ 3 v, �a 7 S' <br />i> l 1y.4 Y <br />_ �.c=_ i, �� i _ <br />