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.•.�;.�^s1c.-101: li� _�� (._— — AC�OUISi tiOLJ�� - ��v�•�C::'•'� <br /> { MUKILTEO WATER DISTRICT <br /> ,��) SNOHOMISH COUNTY. WASHINGTUN �� / <br /> � �� - � <br /> �� APPLICATION FOR WASER <br /> Mukil�eo,Wasnington-----C.-� �-1---. 19��' <br /> 70 THE SUPERIKTEtIDENT OF TH� I.iU::1LTE0 VlhTEH DISTRICT: <br /> � I ne:eby aFP�}' {�: ihe uce ol wa�e: m accordanro with ine :ules and repulalions o! <br /> the lduiiheo V.'ate:District. <br /> • Durmg the time th�t any o! the wafcr mair.s may be tokea up by reoson o1 any im� <br /> p,-o��ement cuthoraed by ine D:sL•�ct ir. or o; any street, roa9 cr alley m which iney may <br /> ii:ve be�n la�c, the GisLict 'A'II: 5101 DC requim� to Iu:nich wete: du:ing the proaress o` <br /> cu,-F. ir..F�^vememc ic am• ron_uner w'hase suppl}' :nay �nus oo cu; o;l, o: be Lable lo: <br /> a�y damage!or ri;iaiiure so fo do (;� <br /> 7'he nu•ner shall br liable fur any dgmapes�o lhe service eonnection. Cf�- G � <br /> PR019:RT1' UliSCRIPTION: v� �Y�r / � �' �v � _� <br /> ��v7�.L�s'. /(.�l i� � V✓✓v'"'� ��J'"' vV I <br /> � <br /> S;��c :i:e ol service 3��inch - <br /> ; � ��.s• ���has beon receive6 x•ilhtinia apphcation. ^� <br /> � , 1 <br /> � <br /> ,:c p:ert::ses are to be used es c _ -�"'- � - �`�=/ '�� <br /> 'n,.cwn=:o!the Prenises is_//�2_:.���:.�C�-G'.C.�.-� (.l.�'^/--GLt_t�:.� <br /> nnc�_;�Z � <br /> ...<.. aoent is . <br /> Ti�c D�s�*icl recommends mstaliotion oi c pressure reaulatinc valve. <br /> Applicont acknovriedoes ir.io:mation ac to the recoainendo,ion and . . . <br /> i.arees to in:lalt a fi�essure regulaling�•alve <br /> S:Gned .. . . ._ _'___ __'_ — .___ . __ <br /> ;�ect:nec lo fnslall�e�sure regu�atiiiq valve <br /> . / <br /> Sionec �•� 4'�.r-� -- - - - --- <br /> It is undcrttaod �ha1 alI conncctioni,includinF mmcr and mctr, 6�� shall rentain lhe properiy of <br /> \IuLiltrn lYa�cr Ulctrict. //) <br /> P A I D SiGned Ktcr_4/�d �ft '��+-' O•ane: <br /> !1p � � � �p <br /> �U�� � 1 �J06 hddre^.✓ -�� %.:>f,� � �SO -- <br /> �_ ���''�. <br /> bp�-L�a�.�n�i�'TC.�. /_ __ Haen: <br /> �S"'�ILT�01'r'AT.R DlSLhadress_— — <br /> TOTAL MATERIALS COST - " "�� <br /> rOF OFFICE USE ONLY: TOT. <br /> DATE COMPLETED ______ _ ___.__. ADD <br /> POST TO ACCT NO. __�7_`���^ IL'��,�i- .__ _ TOT, <br /> _ CUS <br />