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Tap No.......1�..�.'�.1'G�..... <br /> MUKILTEO WATER DISTkICT <br /> SNONOMISH CDUNTY, V.'ASNIN�fOI�� � � �D/ <br /> 7�" <br /> . . �— <br /> '- l <br /> APPLICATION F „ .,,,)�ATER � <br /> s_.�� ���rr: <br /> . :111 6lanks must Ue fillcd in or us out �'yr. <br /> � \fukillco, \1'ashin5ton, .._/..! . 4..� ._...._... _._., 19... ...... <br /> TO TItF SUPCRIr'TC\UE\T OP Tf � SUi:ILTEO �VATF.R llISTRICT: <br /> ' I hrrcLy applc for tLc u5c o( watc: in accordance with thc rulcs and regulations <br /> of thc Vukiltco �1'atcr District. <br /> DurinG tL^ timr that am� o[ �hc �ratcr mai��s mag be takcn up by renwn of <br /> i any imprrn�cmcnt authorimd �)' i6c District in or o( any sVect, road or allcy in <br /> whieh they may hm'c bccn laid, thc District will nat Lc rcquircd to furnish x•atcr <br /> , dnring thc progress of such improrcmcnts to any en.isumrr whosc supply may thus <br /> bc cnt o(f, or Lc IiaUlc (or any damagc (or its i�ilure so ta do. <br /> � Appliration 1Co...... ..._. .. . � � <br /> Rlock Lot...�� c��/4"/�l3',�/ �' ' <br /> _.. __ /.. ._..._... A ....... <br /> � �d- G!�.. ��q�ajl�' <br /> � no. <br /> � q �.� / <br /> _. <br /> „ <br /> �_.� j'✓e_���er� <br /> !�, Statc siz o�np: 'g .....- . ���ch. <br /> $.......(G'�.__ ..._......has Lccn reeciccd x�ith this npplication. <br /> ._...... .......__...... ..._._.... . _.__._. ................... <br /> Superintcndent. <br /> Thcprcmisce arc to bc uscd as a..............................._......_..............._...___.....__.__........._.................. <br /> 'fhc oa•ncr o( lhc prcmiscs is......_._........................,..._....._._.......................__........_....._._.........._......_..._..._.. <br /> Thcacent is.. ._... _.__._..... _ ......... . . . ............... .._...._... __. .. . _.............. <br /> 7liis applicntion, altLoueh sicned, shall not bc Linding upon thc District until <br /> arccptcd Uc thc Superintcndcnt u[ lhr Tiukiltco 1Catcr District. <br /> Sign�d . ... . .....Omncr. <br /> _.. <br /> D� .....✓�-..���"'Q..._. � _. Agrn�. <br /> Acrepted .. . . . ._ ... , 19 ... ll� .. . .�f ._...... . . ........... <br /> Suhtrinfrndtnt. <br />