Laserfiche WebLink
: -• . .r.. <br /> � `„ iap No...�:-.'_.^_�:...�:. <br /> ' NIUIsILTEO V�'ATER DISTRICT g 7? <br /> I •SNOHO\llSH COT.•NTY, VRASHINGTON <br /> i <br /> APPLICATIt�N FOR WATER <br /> � All binnks must bc filled in or crosaed out <br /> ' >fukiltco. �Cashinti�f.on. .............A.�..L.l._�..........L.�Ol........., ]f1�'.�.'j.... <br /> ' 7'0 TfIP SUI'ERINTrND£NT OF TftF. ]IliI:YLTEO R'ATER DISTRICT: <br /> � I Ucrcbc npplp for thu usr of «'nter in uccrordnnce wilh the rules and regu- <br /> laLions of thc Diukiltco Water District. <br /> Durin� thr time thnt na)' o1 the ��'nter mains map bc tnken up by renson <br /> - of unp imph rovements tmthorizcd hp the District in or of nn>• street, road or <br /> fu�rnish��ater durin�;tthe P*�FTes.s t such in provements�tu�:m�tconsamcr�wh sc <br /> supply may' thus Lc cut �tf, n� bc linblc for ane dnm¢gc for ils failure sn to do. <br /> I'i :lpplicatian No................................................. <br /> i o /� .........___. Add....G:Can_n�r...•-_Cnwrn <br /> 131ock........................................ Lot........Q...rl <br /> I �.M.��.�.9.n�C..._Czar..�fen.s._-D.�v_....�`..5....._.............s.reet ._S_M4..r�.n_.. <br /> 'I .........._�SQa�.."..5�1.�G�'o^....� _ ......................................._--....... <br /> . .............. . ......... <br /> .....................................1....................... <br /> ............................... <br /> � Stntc size of Lap: ......L.`_f:..........inch. <br /> 7n '�..�........_..._.has Leen receieed �cith lhis upplicntian. <br /> s.............. <br /> ..................................................._...Su perintniden t._...... <br /> � ....... <br /> � 'Phe premises :u�e to be used as a._...........c�.r.�.C...✓...�................................ <br /> � The otvner of the �u�emise� is..l./-�Co.no.�-C_�....L.D._[o"�.t9.. _Gn:F_Gr�r�ffS.r �tl <br /> ThcagenL is.......................................__......................._........._.._.._............................. <br /> This applicntion, •dthon�:h si�icd, sh:�ll not 6c Uindin�' upon the llistrict <br /> until :�ccepted 6y tLe SuperintcuJeni nf tLe \lukiltco ��'aterDistrict. <br /> 0'CONNOR & CRONIN ED(T"tRPPJSES� INC� ,��rr. <br /> SiRned....................._.............................:.:..:.-... <br /> By.....�..�..y�C.L:K-C...�_::�:.um.�•i....�.''.!� <br /> �- <br /> ' _ _17d._..... lic_..._....... . ....._........_............._.. <br /> lccep�ed...._...................___...._._......... - .._�Svperintnndent <br />