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� . <br /> 7uP No.....:1..'1.41....... <br /> �ZUIiILTFA ��l%ATER DISTRICT <br /> � StiOH01fI5H COUhTl', WA52iINGTON � <br /> o g <br /> P-��PLICATION FOR WATER <br /> Qr <br /> ; \vo� 1� ��Q�S�• dll binnks must Le filled in or croesed out <br /> �.�F'��F� i� • / / _ ., <br /> ..�\`;�� \InkilUeu, Wushin�ton. ...._..!L...�..:F.........._l...0:................ 1P4i_:-.. <br /> 'Rl7 TI1L' SUPL'RJIftTEA`IItiA'T OI' THE i1lUIiILTEO WATER DISTRICT: <br /> I hercin� :�ppl�• fur thc nse ot tenter in accordance �cith the rulce nnd re�u- <br /> lations of thr Nukiltco R'atcr Districi. <br /> lluriny� the tiu:r tLat :m�� ot tLe tcnter maine mnc Le L•iken up b�' rcaFm� <br /> n: any imp rorements nuthorized b}• the DisVict in u.• ot nne street, road nr <br /> �Alcy in �cliich thec mac hin�� Leen laid. the I�is:rict w•ill not l�e required to <br /> furnish u•uter durinF the pro�ress of sucli improcements to au}� consumer �chu�r <br /> supplc may thus Lc cut off. or Le liahlr fur ;my d:minf�e for its fnilure so to do. <br /> :1��plicaliun No................................................ � <br /> - � . :. . <br /> Blucl:....................................._ LoL..........,.�...................... Add.�L.d.-.:"r-�.� t i r�r.'�.�. <br /> . ....:.. ............... <br /> C— . ''•. ,� S.-i ' � " <br /> , . . . ._ - :�.r.^y�c,.. <br /> \a................ ` � : ................................_..Strect...J..^..:-0.....�t. �„ r'- <br /> ........�r�..:�.............................. .._.F ; <br /> ..................................................................................................................... <br /> ...._......................................... ..__......_..... __................._............_._......_...... <br /> ' Sluk size of tap: ��" " <br /> ......�:..�:..........,i c h. <br /> y . .. , , <br /> � :.-........__....has Lecn re^ei�•ed x•itii this application. <br /> ..............1...... <br /> _ : '� <br /> � , � <br /> � � . � ....................................................................._........._.......... <br /> Superin(cndrrit. <br /> Thc premiscs :vr to be used ns :i................_:�' � �. . -. <br /> , ............................................... <br /> Thc ou•ncr of thc prcmises is....._:..'/i.%2:'.E::,..:=.,_�J?�:..:.............................. <br /> Thca�ent is........................._..........................._....... <br /> ._..............__................................ <br /> �, 1'ltis :�pplicatiou, althou�L si�ned. sh:�ll uat Lc hindinfi upon thc DistricF <br /> until :iccepied L�• the Supiq'int�aidun; o: the >lul:iltq� )t�:iterDistrict. <br /> � - _ <br /> --f ��/ , <br /> SiFnrd.S;�.=:1�.-+....1..._...._�::.'._....... �rYc„`� Ounier. <br /> , . .........�............................. <br /> � <br /> IIc........................................................................................:l,vc u t. <br /> �\rceptod_....._....._ _.. __ ......_......_.191. ...... L'y.. <br /> . .__ __...._......__.................._....._._.._.. <br /> � Superiutrudrnt <br />