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Tap No..._�2` %�/Q............... <br /> MUKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTI', WASH�IJG'ON <br /> •`:' 1 <br /> "� , ao <br /> . -. , <br /> . �� �1�PRL•lCATlON FOR WATER <br /> . ,� <br /> , � All blanks mus[ bc fi�lcd in ar crosscd out <br /> '•� ` Aiukiltco, 11'ashingtan _..___.._. ._._._..... ...._._.. _... ..., 19...__... <br /> TO TIIL SUPSRIKTCKUEIT OF TH6 DfUSILTEO 1tiATGR DISTRICT: <br /> I hercLy apply fnr lhc usc of w•atcr in acrordancc with thc rulcs and regulations <br /> o( thc \iukiLcu N'atcr District. <br /> DurinG thc :imc tLat am• af thc w•atcr mains tna)' 6c takcn up b�� roason nI <br /> nm• impro�•cmcnt zutl:c:;zed lip thc Dis�rici in or of any strccq road ur allep in <br /> whir.h Ihr.p may h¢.c bccn laid, thc District w�ill nut bc rcquircd to fumish watcr <br /> durinG thc proeress of surh improvcmcn�a to any consumcr �rhose supply map thua <br /> bc cut o(f, or Lc IiaLlc (or any damagc for its failure so to dc. <br /> np�i��,��o� xo._ _ . �/ ✓ . <br /> � <br /> n -/ <br /> n�od:._.. . .__ . [.oc._ i-��. .................. nad. /C i� ... ...._..........._. <br /> — <br /> , ' r y�–.� <br /> ��. ho.._._...._... . .. .........1 U. �i.�,._Z 5 ......__..._. ...u`) �. . .. . /..._.�f1.�eL. <br /> : _ ._ ...... _.._/�c;tv.-��'-r�.. .�-!�� -,�...._.. <br /> ', _... _ _...._. _.._.... .....[..G. � �...__%y: .�..& -� <br /> ., � <br /> �. Statc sizc of tap: ___..�,�L.... incli. <br /> '. $_.. . __.. ._ . .. .. hu b n rccrircd�vuh this npphcation. <br /> � ' �� _ r �_�... <br /> V . .. <br /> �� � �..,�.. .. . Supnmtrndrnf. <br /> �j/ <br /> TLc premises arc to Ur uscd as n. ...__......... .._......... .. _ _...._. ............. <br /> 'PLc owncr o( thc prcniscs is _.._. ___........ .._....._. . _. _............_...... <br /> Thcn5cnt is_.... .__. . ........... ........._.... _.__.. ........_........ <br /> This appiication althouch srncd ah�ll not bc bincLnG upon tLc 'strict until <br /> attcptcd Ly thc Supenn�ende"n�t o( Ihr \tukil�yu atcr Dnirict. � <br /> �ucd/✓�"'�� .-����•..._�,.�.^.�i_. ./......._...Omner. <br /> liya._......_............................................._........_.._._�...._.........._.........._................_Agant. <br /> Acccptcd . ..____ ._._.... , 19_.......... I{}....._........ ..... ...__ .. . ... ..__.._. <br /> Suprrinhndcnt. <br /> f'",. .'% . �� . . rjc_ / G'.;` 7 — ,3 ':,: ;, i <br />