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10116 23RD AVE W 2016-01-01 MF Import
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10116 23RD AVE W 2016-01-01 MF Import
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Last modified
4/1/2017 8:14:02 AM
Creation date
4/1/2017 8:14:01 AM
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Address Document
Street Name
23RD AVE W
Street Number
10116
Imported From Microfiche
Yes
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« �_�� <br /> Tap No.....^..:'-.......:..�................ <br /> MUKILTEO WATER DISTRICT <br /> -. SNOHUMISH CJUNTY, WASHIIJGTON <br /> r ` � � <br /> � i- <br /> APPL�ICATION FOR �NATER <br /> � All Llanks must bc fillcd in or crossed out <br /> � , <br /> �4ukiltcq �4ashinsron. .............................. ......................................................... 19_.......... <br /> TO THE SUPERIN'TENDED.T OP THE DfUSILTEO �1'ATER DISTRICT: <br /> I }��reb}� applp for the use of H•atcr in accordantc with thr rulcs and regulations <br /> of thc Mukilteo \1'atcr District. <br /> � DurinG the timc d�at anv o( the x•ater mains may hc taken ug by reason o: <br /> I any improvcment nuthorizcd bv the Dic�rict in or nt any street, road or allcy in <br /> �� whirh ti�ep may have baen laid, thc District �vill not be requircd ro furnish wa[er <br /> �� duri:�g the progress of cuch i:..provements to anp consumcr whosc supply may thus <br /> � Lc cut oCI, ��t bc 1ia61e fo: any damac�• for its (nilure so to du. <br /> ' APPlicaton No.................._........__........___.. ...._.... <br /> � � �: .�— � <br /> n>>��:__ rAc ..._ � � _ naa. ;f . <br /> � <br /> _..... . ......... ... _.._............._.............. <br /> .-- % <br /> . � <br /> :�o......__ _.. _ � � —�cr�� . <br /> � . ...... <br /> 10l/6.'a3'`�AJ�. .. _ ..,F�l�-s-�--�--�.'--�� ;i..��,� <br /> ?'....� %. .-....._..._) ...�``_�.(�....� <br /> _.. _._. . _.... , <br /> , -, <br /> '� Stare sizc�" !a,R:,...��/1-�......._...mcli. — �"� c`_..� <br /> . $...... ...__�: �.�a: bccn reccivcd �citli this applieation. <br /> .:_ <br /> - 7 : T <br /> .srf :i 1..:� / I .'.! .. ................. . _.._ ......... ..._ . ... __ .. .......... ...... . <br /> �' I b Supc>iutcndenf. <br /> � � �, � <br /> Thc<picmiscs �rc to bc uscd as a......................._............................................. . ............_.........................._. <br /> TLc owncr of t6c prcmiscs is.._.........._........_.......__......................................................_.........._....._......_._._...... <br /> Thc agcnt is...................._...___...................._.....__._...................._..... <br /> ....._..........................._......._................................... <br /> This applicatian, although sicneP.. sn,ti' not Ue bindins upon the Distriet until <br /> aceepted Uq the Superin[endent oi ti�e Tfuki.[eo N'ater District. <br /> Signcd.................................. .._... _..................._........__...._...._............................................Omncr. <br /> lly..__._................._._.__.._..__...._._._....................._..............._.................._...._.................Agen t. <br /> Acccptcd _...__ .........._. _., 19.......... By......._ ........._..... . .._..............._.... <br /> Superintender.t. <br />
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