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Tap 110..�:�...� e2 V��� <br /> ............. <br /> MUKILTEO WATER DISTRICT <br /> SNOHOh115H COUNTY, WASMINGiON <br /> � <br /> p $ 7�/ <br /> PU�� �k��PLICATION FOR \NATER <br /> � <br /> n1�( Q1RUlanks nmst bc fillcd in or rrosscd out <br /> �•�uaZE�V,.• <br /> F,�• �' t / . <br /> \iukiltco� N'asUinglnn� __ . L��.- -I.� --.--., lb.(�.� <br /> TO TIIE SUPERI\TE\DEKT OF TISE TiGFTL7'CO N':\TER DISTRiCT: <br /> , I LcrcLy apph• (or thc usc oi �eatcr in acmrdanre wiih ihc rulcs and regulations <br /> � of tlic \fukihco 11'atcr District. <br /> DurinG tLc time t6at am� nf thc watcr maine may Lr takrn up bp rcacon o( <br /> � any improcc:ncnt authorizcd br tLe District in or o( any strrct, raad or allcy in <br /> whid� thcy may Laec bccn laid, ihc Di=trict �rill not bc requircd to furnish �ratcr <br /> '� during d�c proKrru o( such improrcmcnt+ to anr c:onsumr.r �rhoxc supph• map thus <br /> � bn cut u(t, or Uc IiaLlc for any damac^_ far i�s (ailure so ro do. <br /> ✓ . <br /> Application Ko._ .___. ..__.. ......... ___,. ... . �f Gih^M Y �YD� !w <br /> / �,/ � <br /> Iilark._ _. ... ... _...._ Lot. ......_.(s�._ �..__.._. Add./�e'���.t�..`..Y�.�^kc ` <br /> Na.. _.._ . .. . ........_.. . y.��...�.../ -....__.._..._. _........ Strcet....Y��!C4r:1.._./l.y.e <br /> �� <br /> � . . .....__....... ............... _........... _..__. . ..___... ._..._...._..... <br /> '� . ............. . ......... _....... ._. ._.. . __.._.... _.....___._. <br /> Statc si;c� o( l�tp. .:7.. _. inch. <br /> G�� �. <br /> �5... /��.__. ...lias bcen rcccircd n�iti� tl�is application. <br /> \ <br /> ...... _......... .... . <br /> ...._.__ ___. .................. <br /> SupamOtridenl. <br /> The prcmiscs arc to bc used as a ....._....���/ '. ..__. ........___.___.. <br /> 7'hc o�rncr of the prcmiscs is _.. _..��^� .... _.��Gt:�G..... __....._.........._ <br /> i / /� ` <br /> Thc aGcnt is.._.. _._._ .� (.L1..CL...f?C-Y_. e' .�..I--G�yi�Fs.'L_..._...... <br /> This ayplication, althmigh siGned, shall not Lc bindinq npou thc District until <br /> accepicd Ly� the Superintendent uf the TL�kilteo N'ater District. <br /> Sicncd .._._..��_./' 4�CLr�%. l. . .__....... ...._........._Omnn. <br /> IIy .....__ ...�..{�. _�✓...IJ�!'..'..'...� . ._.."..___, ........._.._Agrnt. <br /> Arrcptrd._. . . .. .._ .. ... .... .. , 19 .... .. IIy _....._ _.. .... ._._........... <br /> Supcnn tndrttt. <br />