Laserfiche WebLink
q �1G/� <br />APPLiCATION IJO._____.' ��__ __ ACCOUNT IJO._L' � �'O <br />f/ MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON / <br />3j <br />APPLICATION FOR \�YATER <br />Mukil�co, Wachington �=__,7 __, 19. �� <br />TO "4E SUPERINTENDENT OF .HE MUf:ILTEO WATER D15PflICT: <br />1'nceby r.pply lo; the use ot wate; m acmrdance wlih the rulec and reaulafions o: <br />tiie Mukilteo Waler District. <br />During tne time ihat any o1 �he waler :nains may be laken up bv reason al any im- <br />provement authon:ed by (he UisLmi ir. or oi any street, road o: alley in wS�ch Ihey may <br />nave been laid, thc District w-ill not bc required to lumish waler riutmp Ihe proorers ol <br />cuch �mpro�•ert��ents to am• eonsumc who�e supply mvy fhua Le c�t ofi. o: be lioble ior <br />ony damagc lo: i�c lailu:e so to do. <br />The owner slv�ll bc liablc fot any Samages tn �hc scr(��icc cunncction. <br />YItOPLRTY UGSCILIPTION:_ �C� / � �/ft A�- <br />- -- � � �S —SZ <br />/.DDRESS: <br />Stalc si.c o! servir� �f'tr inch <br />i����d 0 <br />has becr. reteived wrth thisappLcation. <br />,C� i c<-,,..-�-Ea_ n� <br />The p:emises are lo be used as a ��-'t�* C �/ _ (�• <br />The ow•nc o! thc premires is <br />Tnc aoen! ic <br />The Disinct recommends ir.;t�llm�or. ot a V�essure regulating valve. <br />Applicanl acknewledges mlor.nation ac to the recomnend¢tion and ... <br />hgroes lo instoll c pressure regulatin7 �a��'e <br />Signed ' � <br />De=lines to in RII a Fressure <br />v <br />Si9nec .L� �• <br />1� is undcrsmnd that ail conncctions, includinF me�cr and mcier bor shall rcmain thc pmperty of <br />)lukiltco 1Yaicr District. <br />P A 1 D S�aned �L:ii,;, J✓ �, a� L:�.�—. Owncr <br />�- .�'i'E-..i.. . � I ^-�:�_.-` <br />r' Addr�« �. <br />.� NN .� 1987 &�• —_�� �i��U�� �� ...) �, hgen' <br />�ry�tiILTEO WATER DISr %��dres�._Cll���__�� _ _ <br />(1/� 1:2) // ,/ <br />TOTAL MATERIALS COST 7��' `� <br />fOR OFFICE USE ONLY: <br />DATECOMPLETED _— -- ----Z!f-7-- <br />POST TO ACCT NO. �y� _��•� -- <br />