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hpp;.Ir.hr�ac !a�._��G' __ hCcovn*T r�_!'2L-/,.93UUCY <br />i '..= <br />�� MUKILTEO WATER DISTRICT <br />SNOHOMISH GOUNTY. WASHINGTON <br />�� <br />APPLICATlQN FOR WA'fER <br />g �i l�-.-,_r:.� � ti, _ �;3 <br />1J.uki:teo,VJcshin icr._ � -.19� <br />10 'fH:. SUPERitC]'EYLEI:T �: 'IHE t.1JF:IL7EG VJF:TEi: DISTRICT: <br />: he:ecp ap�:y lor tne use o! v:ete: i^ acco�dance v�•ith the ruiac aad r^_y�iations oi <br />tnc- Mul:iltec Wr1e: DisL-i:t. <br />Guring ih^_ t�mc that oay o1 ine watc: mair.c may be taien up by reasor. o! any im- <br />pro:emen: autnnnzec b}• tno liistricl i:. or o! any streel, rovd or allr.r in v:i�icn they mcy <br />nave becr. laic. tne Diet:ict wil! r.ot bc required lo {u:nisn water during thr ,^.:og:es- ot <br />such �mprover.:or,tc lo e::y concume: wnose supplp mey :hx�, n,. �..t o!1. o: be lid:;i.: lo. <br />anr �anage io: i!c lailure co to do. <br />Th: owner shall be 1u61e (or an>' damapes to the sen•ier connection. <br />PIt01'EILTY Di:SC21Ci'IO�: �•U"� 1 �I �l� ,� v°�^-= � �^ � — <br />� .�"� _ Q,' �— — <br />�nR�ss. � o� .�_) S E-�� t_' �-- <br />sta;cs:zco.`sen�fce�'��--I:s}, ----------�- <br />;_c� ��._—hac beer. re:eived •a•it!: thic a;.Fii=ci;o:�. <br />Tnc Fremi;es are to bc usad �s a_��.�-t"-^ �=�'"�- �'"`-' 1� �'�• • —. <br />ihe ov:ne: oi th=F:e�ises is.,�� L ���^✓�-�C.%-i/�l^ � _ -- <br />"6c. ao��; is <br />�ne Diseic; reco:�mend_ iactaliavar. o! c pressu:e :egulatinq vcicc. <br />hpplicani cc'r.�owledges info:matior. as to tiie r^�ommendatro.^. end .. <br />harees to install c pressure;e�ulating �clve <br />Si^ne:i ___-- _ _ _. ___ ___ _-_.. <br />I>edi�ec to ir.stCl�c o�e:ryure:egulcting �•clvc <br />E,i�r.ed <br />It is unJcrsinud that all conn::c�ions, in:luding m^-Ict and metcr bo� shall rcmain tiic pm, crtp of <br />�fui:%ltco 15'aicr District. <br />{"'k �':. N � � <br />sss:,�a�L1T.�. //1C- ow:,=� <br />I.' , ' i::�� .,�1n 551=5 <br />. . ..., hddres�S'+--i �,�1��!U����i--C L <br />l ' •'-� <br />(i'P����L•.�f. ,.�r;.., �i/�,��/ h9ent <br />•„i.,=r. �.�;' SY_�=�`��_1 ' -�_i-y--�-� , <br />. . . � /��.� �.0 �7�J_�l��yV _ <br />9 Addross - <br />TOTAL M17ATERIALS COST I /. �- � <br />FO^n O�r'ICE USE ONLY: <br />DATE COtdPLETED _--� � -�-- <br />POST TO ACGT N0. �-'� �'`� � "�--� <br />