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10120 19TH PL W 2016-01-01 MF Import
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10120 19TH PL W 2016-01-01 MF Import
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Last modified
4/7/2017 4:20:59 PM
Creation date
4/2/2017 3:18:26 PM
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Template:
Address Document
Street Name
19TH PL W
Street Number
10120
Imported From Microfiche
Yes
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AP?LIC _'t0� idO. I a� ACCOUN7 NO. 2—�? �'Te L. <br />MUKILTEO WATER DISTRICT I <br />SNOHOMISH COUNTY. WhSHINGTON {� L� <br />APPLfCATlQN FOR �iNA'FER <br />1duLiNec.VJashing�on �'2'/ --.=,15aU <br />TO TH= SU�EAIIiTEFDEI4T OP THE '4Uf:ILTEO VJhTEP. LIS?R1Cit <br />I hereb�; cpp':: ior ine use o( wcie: ir. a:_ordancc- wilh tne :ule; and regulations o: <br />the tduF.ilteo Water Disk�ct. <br />During tn= :ime tnat any ol tne wCte: nair.s may Le icken uc b�� reeson ei cir.y iia- <br />n:ovement auihc:iz=d by ine Pisvic ir. or o! ar.y strcet, rovc o: altey in w�hicii tney mc� <br />have boen Ir:id. th� Dist:iC wili not be :eqcired to fur�ish w�t^: du:inp the pro,r,:e�s o! <br />such improvemer.L- lo �r.p consumer v:hose cupply may ti�us bo cut of:, o: 6e liabl�• ior <br />�r.y daniagc !or its lailu: e so tc do. <br />7lic owner sh;dl hc liablc for an)' damaFcs to Ih�• ;avi:^_ conncction. <br />ricore¢rv nesce�rrion: ,�'T � — <br />—�.�.��,,,��;t"��ii' � — <br />�����ess I o t�n — I 9`k In�� l-t.' <br />Siate size oi se:rice �f� i�ch <br />�'" � <br />;��� hes bee.^. re:eived a�ith tnis applie�fia:.. <br />Tne pre:nL-es are to be nsed es c ^�-(-r= C�' �'-�+�--�/—�n�"�- <br />l7 —j ..�� /�-f�c'Y�L.C',C� <br />Che owner oi li�e premises is J��r ��.'.' ��.'-te-..�_�x-�—, <br />Tiic. aaent is_ ----- -- <br />'fne Disr.ic: recom:�ends inst�liauor. oi c p:cssu:e repuiatin9 velve. <br />i.oplican; ecl:newl<±a?es mb::nctior t^ ti�e recor..:nendctior. ano ... <br />Aarec: b i. ��� �^ressure regula'in� ���c <br />:,�,��i_•d _--I �1✓'i=f/_—� cf �� — <br />Gec;ines to ir.stal: c p.�•cs:r.e :e�7ulaUng �:alvo�� �_- <br />Si7ned — — <br />It is understuod lh:u all conneciiuns, includine meter and mete: uox shal�l re ain Ihe property of <br />\tukiltca N'atrr District. /�/�(�J GOUi1�7-72�y���r�.-O _/j9�� <br />�/f '` %r7�' <br />" " Sianec�(/{1�,�� - _�. /- fL!' — , Ownc: <br />� <br />. ' . nddrcss��% I�i�K �S (____ <br />_ -. "B}; �� � �t: c .i �:—.( �l t' �• •� _'�--. Aoent <br />;,,�:�,=- =s �"=-, `-._--=�s�l a-3a Y2 <br />
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