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Tap No..r�J..�_.^.:.�.1_............. <br /> � � MUKILTEO WATER DISTRICT <br /> � �1� A�`,� SNOHOMISH COUNN, WASFIINGiON �� <br /> �•L1, ,`�RQ\S�• . � <br /> ��,���,tE°�PAPPLICATION FOR WATER <br /> Atl blanks must 6c Eillcd in or crosscd out <br /> \iukiltca, 51!lshingtnn ...._.... .. �:'!f� �.�.... .-., 19.Y...� <br /> TO TItE SUPGI:inTENDE\T OI' THE D[ FILTF.O \1'ATER DISTRICT: <br /> I hcrcbp appip fur iLc usc of �eatcr in aa�irrdancc with thc rulca and regulations <br /> oC tLc \tukiltcn \1'ate District. <br /> During thc timc +Imt am� n( thc �ratcr mnins may bc taken cp by rcnson oI <br /> any improeement autl�o:ized Lp �Le District in ar of am• streeq r�•:�1 ^� allcy in <br /> which tlmy mar havc 6cen laid, thc Distrirt e'ill not bc rcquircd to furniaS ��'��c: <br /> durinG thc procress oC such improrcmcnn to any wna�mcr who!c suppl}� may thue <br /> bc r.ut of(, or bc liablc for any damagc (or its f:.ilure s�� m do. <br /> Application No...._....__.. _.. .._..____._......... <br /> � l� <br /> �S�O(�....._.. ..............._...... TAtt....... P�...i ..._ __._... l��l�. ...__.. .._._....... <br /> ""'"" . ._ . . ......._ . .. $IreCL / ....... <br /> No .. ......_.. � <br /> (J/ r <br /> .. /!�. ..�� �:,N'�a-c'�''/ _ _./✓ ....._... _.......... <br /> / � <br /> ._.. ...... �7 ,// / .,. <br /> _.... _...._.. _...._ ..........)�! //� �.. _�G.Lcl��:iN <br /> .C/ � �r� ��� � • <br /> Statc anc of t�p: ��/..-�......mch. /` � �M J <br /> /'� _"''/`.�"�'" <br /> � . .�l. .. . . ___.l�as bcen recci��cd with d�is ap�ilication. <br /> � � <br /> T�... . i... . .._... _......... <br /> � / i ,,�-,� ��u rrinitndent <br /> A <br /> � �� <br /> Thc prcmisrs arc to bc uscd as _......... ...._ _. .._.. ...._.. ..._...... <br /> TLcowncr of tLe prcmiscs is ____........__.........._.....__..._.._..._.............._.._...._..........._...._.__......_..'_ <br /> ThcaFcnt is ......... ........... .. .._.._. . . ...___ ._............. ._.........._. <br /> TLis appiiration, ald�nu5�� sicnrd, shall not bc Uinding upon tLc District until <br /> arccptcd Up dm Superinten ��.nt o( thc \lukiltco N'ahr District. <br /> Sicncd,:�l...L.:�i.c� J`.'..�`./.. .'��f:1...L-.rzx_:� ......_.....Omnrr. <br /> II>t"__..___..__._.._...._.___......_..._.......'_'..........._...._............_...._._._...._...11 ga nt. <br /> Arccptcd ...._.. ..._..._ .� 19....__.... Ti} . ._........_.. .____..... . .. .............. <br /> Supennlendrnt. <br /> i .. �.ir. �i �'.. ^ <br /> r -� r��. ' � '�;; <br /> ��'� �L -r—� ' <br />