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APPLI/CATION NO._�U� __ �__ ACCOUNT NQ �'zv�'S'/�'2a7 I <br />/ <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH CCUNTY. WASHINGTON � <br />APPLICATION FOR WATER <br />Mukilteo, 1Vashington � � ��� , �g �7 —� <br />TO THE SUPERiIJTENDENT OF THE MUI:ILTEO \5'hTER DISTRICT: <br />1 he:eny cpplp lor the use o: waler m accordance with. the rules and :egulation, el <br />the Mukilteo Woter District. <br />Luring ihe lime ihat any of ihe woler mains map bc faken up by reason a' any im- <br />pmvement authori.ed by lhe DisL-ic! in or o! any street, road or alley in which they moy <br />hove becn laid. tne Distnct wi11 not be required lo lurnish watcr dv:in9 the proaress ol <br />:uch improvemenL lo any consumer whose supply may lhus 6e cut ol:, o: Le liahlr ior <br />any damagc lo: it; toilu: e so to do. <br />Thc ownu shall bc liablc (m any damaFc� lo thc scrvicc conncction. <br />�1� / ' <br />ricorskrv uLscicirr�on: a �—'� �, J f� /C'.S C.-5 -�-2 i <br />� <br />„�oAESs ln 6.� y� � c-�u �-�e �-�c«� «�� <br />Siaic size of service _ � � inch <br />:�'�7C' 0� has been teceived e•ith fhic applicolion. <br />The premises are lo be used as e_[�'� ��.L� ;.�i�� � l�'�i�', �.+ �tL.%�Gl�l >C.(_p <br />... /� ✓ `� ,� . <br />Phr oancr o( the premises is � L��'- •� ��i fL�/9�? o.C.�!L��.= ,, <br />Tho nae�t <br />Tho Di.t:ict recommends msta!lahon o: � pressure mgula�ing vclvr. <br />Apphcant acknowledqes inlormotion ¢a to the recommendotion and . <br />kgrees to in;fyll c p_essprc regul¢tinq valve ,. _ <br />Siane� �� �.� <br />Deciines fo instcll a <br />�ivned <br />:egcl¢ling valvc <br />Il is understood Ihat all conncctiuns, incluJing meter and metet boa xhall rcmain the property of <br />Mukillco \l'atcr District. <br />E� :'�L 6 � Signed i % -� /t�/�l�_�+ / � ^ Gx•nc: <br />.. 1 i, 19�3 :,aa:��� /o(��-t � `� •.� `a.-�'. �-�,��— <br />py. %.Cc���� �.l% �� �C' �� i.aenl <br />fJ�UKILTEO tiNATER DIST. <br />e naa«.� <br />, , ,, <br />T07AL MATERIALS COST � �' � ` <br />FOR OFFICE USE ONLY: �,T _ <br />1 - 2.. �b�-----" <br />DATECOMPLETED �Yy� <br />POST TO ACCT NO. ��'—' ��'�'�--�— <br />��_.� _ I__ i�_. . _— <br />-- �,�i__ �� i5 --- <br />