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' 7 <br />APPI,�"�.SIL-^'i NO. = "�� --- — ACCOUNT NO. <'.rt•� _ � U !p �• <br />l- <br />1 <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON �`�LI�� <br />APPLlCATION FOR 1NATER <br />�Aukilteo, Washinyton �'=�-�-� ��1'.L-- �-: �9� <br />TO THE SUPERIHTEtIDEKi OF THE MLif:ILTEO WhTER DI£TRICT: <br />1 hereby oFF�Y {o: ine use o! waic in ar,cordance with the rules and reyulalions ol <br />thc Mukiltco Vlatec D:stricl. <br />During the time inat anp o( lhe water ma�ns may bc laten up by ranson o: any im- <br />provemem authori:ed by fhe Cisirict ir, o: ot any street, road o: alley in which they may <br />h�ve 6een ia�d, �he Dictrict w•ill noi be tequirec to tumioh water durmp the prooress ol <br />:uch impmveme�ts lo any cor.sumer who�e suppl� n�ap tnus Le cu! o:;, o: be ;�able lor <br />a�)' dana9c lor us failurc co to do. <br />Thc oancr shall bc 1ia61r (or any damagcs to Oic scrricc connection. <br />rRorriiTv oesc�zirnoN: �o't #�I �I,�r'r 1� � �T 1 US C s' - s2i <br />ADDAESS:L � � ---��—�"�n� <br />Sialc c�zc o; sorvicc ' I`J inch <br />O� <br />� 1,�Q• has been received x•dh this applicalior. , <br />� � 1 �a'=��.L- — <br />Tii^ Fre:::ises are lo be used as a_�ihs��L�^����� h <br />inc ownc: o! fhc prcmices is <br />��.1-��5-�'1C�17 V-�l:i�'L'�-'- y1l-C/ <br />lllo'�%�[� <br />Tnc aqent �c_ - <br />K Of <br />IR ME <br />>ING <br />N0. <br />DING <br />. NO. <br />REPP <br />�UIF <br />a <br />;K <br />OR <br />Tiie Pi .ict recomme�ds ms:�l'�tior. o` c pres:ure regulaling valve. <br />AppL_.m aa'r.now9edae:. mfon..�t�bn ac to the recemmendation and-. - — <br />hcrees �c i il a ptessute r- .latmc; �F ae <br />Sianed � � - -�— <br />Dedines install � P�ecsur regui i valvc <br />Siqnod — --- -- <br />� It is undcrslood Ihat alI connc ' is including mcic� und mctcr b� shall rc iai, p_n ���� P�°P��t>' °� �__ �. <br />1rF"lT1tiLiG1 C]f:iYC � <br />!lfukilico Watc; Uistrict. / � � �✓ <br />P A 1 D �� , �?/i-.�-+-?^ �,,.� <br />a <br />S�i <br />tA�'KILTEO 1'JATc� <br />�� <br />�/� 2C-� <br />TOTAL MATERIALS COST <br />FOR OFFICE USE ONLY: <br />DATc COMPLETeD _—_- <br />POST TO ACCT NO. .__ <br />L <br />�3 'dU <br />- ., o — <br />TOTAL C <br />ADD / � <br />1'OTAL C <br />CUSTO� <br />