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�'- �.%l.c�r.._:.. <br /> Tap No.....�......... � <br /> / s� o � • <br /> MUKILTEO WATER DI57RICT �'� `�= <br /> SNOHOh115H COONTY, YJASHINGiO1J <br /> g �7 <br /> APPLlCATION FrJR WATER <br /> All bl�nLs must bc (illcd in or crosscd out , <br /> r1uF.iltco, �\'asLing�on, ..�` '"'.`�'+'��' .._� 19... <br /> TO TIi& SUPCRIKTEVDL'?�T OF HC ASUI:ILTEO \PATER DISTRICT: <br /> � I Lcrchp apply fm� the usr of �.•atcr in acmrdancc aid� thc ndea and meulationx <br /> o( thc T[ukil«�o N'a�cr Uis�rict. <br /> During tLc tinu� th�t :my of thr e•n�cr mains mac hc taAcn up by rcason oC <br /> ,ny improvnucnt a�tlhorizcd bp thc Disvict in ur of am� svicet, rond or allcy in , <br /> wli^L tLc�• may Lacc bcrn Inid, tLe District will not bc rcquired tu fumish e•arer <br /> durinG :)re pracress o( sucL improrcmcnts to .m• mnsumcr whusc supplp map lhus <br /> bc cut off, or Lc liablc (ur anq damagr (ur iu (ailure so to do. <br /> Application Na ...._ _.. �7 / /,/+ / �C <br /> nlod:.. .__... .:_.I,ot <br /> �.�__ nad/�c�'�iitY cezrq7r„�� <br /> J— <br /> No..._.. _.._._....... ._...._..__ .........._._.. ..._...... Strccc..... ......... ....__.._............... <br /> 9lr/J ....,... f irC�� ��,� �r��'�° <br /> ,�/ ���e ��� i-2ayer <br /> Satc sa o��p: /¢ mch. 7 <br /> S / n ._.Las bccn mcciccd w•ith ihis applitntion. <br /> . ........... ..........__.. . _. .. ._....._......_._..... <br /> � Supoin�endent. <br /> Thc prrmiscs are to hc uscd as . /�O/l,e' ..._...._ . <br /> . . ............._ . ..._... _..__.__. <br /> Thr o�cncr u( �Lr. prcmiscs is _..._...... ._._. .............. ....:..........._._........ <br /> TLcagcut is. .._.._ _..__ ._ __._ ...__....... .._....___._....... <br /> This applicatiun, �Ithouch sirncd, shall not bc bindinc upon tLc District until <br /> :�rcrptcd bp thc Superintrnd��nt nf thc \tul.ilteo 11'atcr Distrn�et. n <br /> SignccS�d�7.F-.�CC.....� '�1-l:GI�-.!�.-...._.....Owncr. <br /> n�•............... __.._. . __ `_...... .. _ _........ns���. <br /> n����,��a , i�� nr _ _.. _ <br /> �suprdnl�ndeni. <br />