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10015 19TH PL W 2016-01-01 MF Import
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10015 19TH PL W 2016-01-01 MF Import
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Last modified
4/7/2017 2:27:24 PM
Creation date
4/2/2017 3:17:49 PM
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Template:
Address Document
Street Name
19TH PL W
Street Number
10015
Imported From Microfiche
Yes
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�� ' _ RCCOU�T id0. -' l7 J£ C <br />�.'u.:F9ATI07C 170. d <br />MUKILTEO WATER DISTRICT ( <br />SNOHOMlSH GOUNTY, WASHIIJGTON � yij y <br />A�PP!lCQTl4N FOR WATER <br />2;ukil�eo, Vl�ching!oa �5- ��—, 19� <br />TO ?9E SUP�AII:TEI�DEtCT OF TtIE IdUY.ILTEO V.'hTEF D15T31CT: <br />1 heteb; app�g for ti�e ase o: wotr. ir. accordancc wi;h th= rules and :egulc:io�; c: <br />the IduEiltec '1later Distric:. - <br />Du:ing the ti�c tnat anp o: the wate: mamc may b� tai�n up ey reason oi any i::,- <br />provement autnor:zed 'ny Yne �isLic: �r. o: oi any street, road or aile� ia v✓hich tne;: rr.�y <br />nave b^er. laic, li�c• Distr,et will not be requimd lo iu:.^.ish wafer du:iny ihe p:oaresc ai <br />sucn imFrovements ic e _cnsume; wnese suppl; mcy tims �e N( OII. O: De II[:LI^ :�. <br />any damage ior its laiiure :;o to do. <br />'I�hc ownct sh:dl bc liabic for anp damagcs to �h^ s:rvicc connac[ior.. <br />PI;01'CI:P}' DESCRI!'TI0�2•. �� 07� v2� <br />�..����� I ��� � <br />u=3J_'µ <br />ADDRESS. __ I U U I S— L'�.�W — --- <br />JI�IC- GS^ OI i^ PICC. ��.�__II1^_}. <br />�1 -QU <br />S�^-L-$ � has been mceivec u:!F. ihis appLc�t!or. <br />��, <br />T�eo:�misesm=to5�usedeec �%��.-C-_ 4_7v�J� /c��. _ <br />I'he ovrner of tne Fremise� is ��.1'�i.,-1=L�-2c�.%�:,.._�'�+'_-'�>�� - -- <br />9 <br />�i.'1n Q�iP.•11 IS <br />Tn� Di:trict recommen�a mstallcuor. d c pressu:e reg�lr.ting vciee. <br />npplicent aC):nOVAe]y^ec Inio::^atiC.^. nG �0 the recom:�c�ndetion anc ... <br />na;ees lo instal! e preasure regulat:^o valvc <br />Si9�ed__� - <br />,�1 <br />D�dine; to install�� s�e _gulvti�.: cales <br />i <br />Signed � � � _ — <br />✓f 'i <br />It u undcrctuud that all conncction., lud' icicr andpicte• bax sty� 8�en lhc m tt � oC <br />S -J� y� <br />AtuLiltcu �l'ater District. � � / / �� / / , / � P� ) <br />PAED <br />:)v:.i�. <br />tiaa:��� ����_a:�«�-v�. — <br />N�AY 2 � 198D _�CLI� `jc r� � <br />(1X �_.�,_a �1�J�4�++`_%, n9en: <br />,c, L^,Ub:I�iEO WAT�R DISZ.. q��� <br />..nr.�.-c__�L'.__�"_4_42.._—. �.�02 -- <br />
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