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Tap No.�`:.�::---.�1...---.... <br /> Q MUKILZ`EO ��%ATEP� DISTftICT �J. <br /> �` A����'SN�OHOM1tISI� COUNTl, WASHI?.'GTON �7'3 <br /> � v .,, ����0\5 -- <br /> ��`� �LICATION FOR WATER <br /> � <br /> '�, �J�\ dll Lla�Js must bc fillcd in or r.rossed out <br /> \tukilu�o, R'ashincton� ......................................................... 194........ <br /> 'PO TIIIi SUI'EI:IN1'ESDENT OF THI's \IUKILTEO �i'ATER DISTRICT: <br /> I hereiip n7�p1}- for the use af watr.r in accordnnce n'ith the rules nnd regu- <br /> � lutions of the D7ukilteo R'at^_r Districl. <br /> '� Durinti lhe time tha. a.ny o: the ��•.iter mains m.ae Lr tnke❑ up by reusm� <br /> ot :mp impro��ements authorized L}� the District in or oi any strcet, road or <br /> � aile�� in «•liich tLcy ma}' haee hecn laid, 4he District �cill not be required to <br /> � furnish ���ater during the proFrese ot such improvements ro an�• consumer whose <br /> ' supply may thus he cu[ off, or 6e IiaLle ior nny dumaFc for its tailure so ta do. <br /> �� :lpplicatian No.............._..._..............._........ � <br /> ' i <br /> �� r <br /> ' L'lack...._................................_ Lot.........:/�._... ............ Add..:._...._�.:....................... <br /> Na............��.f..0.y..'....Z7�.A_`�t...�_...................Strtet ......._,......... ........ <br /> � � � ��� . <br /> ..........C"�iC_'-(�i✓:_"-z�......:��=�':`�....... " <br /> ............................. .............. � � i...._. ......._- <br /> �� ✓ <br /> .�, �;�,_,,,,�;,��—..,�,/� <br /> ................................... ......_.............................._......,-- ......................_................-- <br /> -, ; '� � � i �i�, � <br /> _ � .--� <br /> Statc si•r.c O�u�...�•`,;;,C......incli. ✓ � <br /> c........._�.:�_ ...�_..........bu.>. been rr.ceiced with this :� plication. <br /> ........................................................................................... <br /> Sri�periutr.nucut. <br /> , 'fhe premises arc tu hc uscd cis a..._............._........................................................... <br /> � Thc ow•ncr of thc premisc� is._........................_..............._......_..._....................... <br /> Thea�ent is.........................................................................................................�-----..... <br /> This applicatimi, :Jthouch si�;ned, shull not be binding upon the District <br /> u.ntil uccepted by the Superintendent aC the Mukilteo WncerDistrict. <br /> Sifined....__.........................................._........._..:..........................Ouuer. <br /> B}'............................'---........................................................A D r,n t. <br /> :lcceptcd........ ......._......_..._.._...............1:�;........ Bt'-......_............_......_.......................... <br /> SttYcriictertdent- <br />