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'fap No....t(J '� ':6 iJ <br /> .......................... <br /> MUI�ILT�O \�%AT�R DISTRICT <br /> S10Ii0\tISI�i COUNTl, R'ASHINGTOA' � �� <br /> � APPLICATION FOIZ WATER <br /> :111 6lnnks must 1M filicd in or crossed out <br /> nluLiltcu� R'ushinRlon� .........................................._............, 194....._. <br /> � TO 'CEIG SUPEP.IK7'tiNDEKT OG THE ilIUi:ILTEO V�'.�TER DISTRiCT: <br /> , I hereLy uppl�• for [he uvc of x'�iter in necordnnm «:th the rules and rcgu- <br /> l:ltinns of U�c \iukilten \1'atcr Ilistrict. <br /> . Um•ing tLc timc :h:rt :i.n}' of tho wutcr mains mac bc taken np by raason <br /> ' nf anp improvemmrts authorizcd Lc the I;istrict in nr nf nn}' street, rond or <br /> •ille}' in ��•hmh ther m:p' hace Leen I�iid, the Distrirt �cill not he required tu <br /> � t,rnish �c:�ter dm'iii4 the pro�:ress of such improremants to ;vU� cou�umer ��•hosc <br /> suppl}• m�iy tiius 6o r:n off, or Le 1ia61e tor nny d�unage for i:s f:�ilure so to do. <br /> :\pp�iuitinn No..............._._........._.................. <br /> ��` ... AJd....�'.�'.�..i...' r s <br /> 131ack..._................................... Lot........L......................... ................./ <br /> .-� j <br /> � .a.....`�...�-.t..v' o .✓�..,�,--'�'�._.....�� . s��«o ........._........ ...._.. <br /> ..............\........ ................... /.. <br /> /� I 11(J�'�--�.-✓'��/_�,.../.^L%)�,�1.ti�i..�.�.... <br /> . ........................6:......................."'..._............. .................... <br /> .................................................................. ............._.._....__............._..................._.... <br /> / n <br /> Stntc sizc af tup: ....%�:...........inch. <br /> S.................................._....has 6cen rec�' • tcith this npplicntion. <br /> �� � � <br /> � ...�..........._�:...�G...................._....... ... <br /> .........._....._� . <br /> Su pr.riri f endcrtt. <br /> 'Phe prcmises urr to he used as ri...._..._................................_........_........................ <br /> Theo�aner of the premises is............................._..................... ..........._.................. <br /> Tl�i� ul�cnt is.................................................................................................................... <br /> This apP�icnlion, •ilthnu�h signed, sli;�ll not Lc binding upon thc District <br /> umtil accepted Ly Ihr Superintenden; oC thr \1ul:ilteo R'aterDistrict. <br /> Sirn�•d.... Oioncr. <br /> .. .............._..................................................................... <br /> Bt�........................................................................................A Dni t. <br /> Accrpted.__..._._....._................................19J.._.... Uc.............._... ._ _.__.......................... <br /> Superintendcnt <br />