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Tap N.-.....A.f.--=.�.7(1......... <br />MUKILTEO WATER DISTRICT <br />SNOHOIAISH COUNTY, WASWNGTON %� <br />4 <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />TLhkiltco, Washington, ... _...._.��L7c'-.. � ........ <br />19LG <br />TO THE SU PERI\TEN DENT OF THE MUKILTEO WATER DISTRICT: <br />I hereby apply for the use of water in accordance with the rules and regulations <br />of the Lfukilter Water District. <br />During th• time that an))• of the water mains may be taken up by reason of <br />any improvement authorized by the District in or of any street, road or alley in <br />which they may have been laid, the District will not be required to furnish water <br />bduring the e cut off, orrrbe liable for arr mdamageents to any for its failure soconsumer whose supply may thus <br />odo, <br />Application No... <br />Block <br />No.___., <br />is-----. _. __..__. Add...--•----�_....._ ....... <br />Stale size of tap: _....—�r__.c.__..._.,....�. <br />,/ e^� <br />$ !. .......... .......... ......... has been received with this application. <br />_.__....._.__._.._....._ ..... ........_.._____ _._.........__ <br />.4.._.._..._.._..__.._. _. Suprrintrndrnt. <br />i <br />The premises arc to be used as a..........___....._._........__......._.._._._..............__.._........._......._..._ <br />The owner of the premises <br />Theagent is.......__._..._ ............. _. .._......._.__.___................_._......_.........._..._._..__._... <br />This application, although signed, shall not be binding upon the District until <br />accepted 6y the Superintendent of d6c Alukiltco Water (Dist ' t - <br />Signcd.....���� . <br />Is-.--- ny.._.._.._...._.__..._........ _._....__..._.--. <br />Superintendent.ent. <br />