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� i /"/� '�'_0"6L <br />hPPLiCATIOtC id0.__ ,�.__ _— — �+�COUtdT S.O.a.���—" �-' <br />�—� <br />MUKILTEO WATER DISTRICT � <br />SNOHOMISH COUNTV. WASHINGTON / ../ <br />11' <br />APPLICA�IQIN FOR WATER <br />� ; �? <br />Mukilteo, �7ashmgton - " . 19 `= <br />TO TNE SUP£R!I:TENDEICT OF THE 1.:UY!LTEO V.�AT�A, DISTHICL <br />I �erebp cppl?' fo: ;i�e use oi wate: i: eccordence w'?h th, rules anc regulauons o! <br />!ce 1.1u'r.ilteo V: ate: Lisviet. <br />i,:^n7 the :ime fnat ang o: the wate: mcins ma}' D� faker. up n� re�son o: r.r.y im- <br />�rove:aer.t o;�nor:z^c by 1Se :�s::i:! ir. o: o! an� ct;eet, :o�d or cllep in v.'hich !ne.• may <br />nave �ern lai�. tiie Disl:ict �.rill no! be required lo :urnisn wate: du:inc ti�c prec�es; el <br />c'J-6 ImF�ovrtnc'.'. 10 ^. ': CD:isU:�e: 'e�p.;c- SGy?I$ IDC}' I[lLL5 L:n cu: GII, o" Dc !:�:::i.. to: <br />cr:;� damago ior iL- t� i'.u: ^ sc to d:. <br />"(he n�ener shall Le liable for any damages to U�c sen�ec cnnnection. � <br />^�- � <br />� <br />1'KOP�1LTl' llESCRI(710N: _ �' "� ; -' — ��'�� �' � '�•� ,'�': <br />� � i ^' �. <br />- :z�-..� ��✓.'- ��>_ <br />/ _-� � l 9 j�,; J�J�,�� �� <br />F.JDRESS�._ - -- <br />Stcte �ize of servic= �''� inch <br />�J� <br />� <br />$_ �.-�C' has be�n receive� wifn tnis applicatioc � <br />TneFrea:isesa:etoneusedcsa -�-��/_ . /' _.!—:._�J_. ' _ _ci=' � <br />7:^.•. o�r�er cl tne P'emise� is /'� � � '�f - .:. �• r .;�/t'._ ' _ <br />Tn� aacat <br />?iie Discict roa^mer:dc rosfalleuor. oi c precaure r^gulatir.G v�lv�. <br />i�pplicont aa'r.nowiedges inio:mcnon cs lo tt�e rc_om^^ntictior. and ... <br />l,grees to iasla!1 "c p�re^^ure):egul�!ir.? valve <br />Si�.^.�.a?' T%�--'�.---.--��_�...`.-- .--______— <br />Deciines to ir.stall e F:essure reaul¢t:ny vcivc. <br />i <br />Sianea'� _—_—__— —___. ___.. <br />It is understond ILaI all mnncctions, including mctc: and mete� hos shail rem�in the property o( <br />�tuCil[co q'atr. Uis[rict. <br />C` h'h i D Sia�ed���u-+c��..��`Mr �. �..Owne: <br />(� �,1 � �� � <br />JUI�� � ~ �J� �' n;]�feCS � � S� �-� L j ��� __ <br />� / ' '. �. <br />�,; ;� <'�-�7t:�J; - =� __, hren: <br />IJIUI�ILT`" '. _.: � 1.' -.� ; _ , <br />g hddrecc. .� i- __�-.- ,.- " <br />TOTAL MATERIALS COST � ,..� �� <br />�OR OFFICE US� ONLY: T <br />D4TECOMPLETED _L-�� ��_- .—_.--_ A <br />POST TO ACCT NO. '��L,��y_ �-'%� � _._ T <br />_ �J � _/�L.e __,_ � <br />[i'�' / �L\. %� <br />