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n <br />hPPL1Ch?IOIi Ii�._� �1_, <br />� <br />ACCOUIdT ldO.L �C_�.'%�'-u1^ �^ <br />' MUKtLTEO WATER DISTRICT <br />SNUHOMISH COUNTY. WASHINGTON <br />l / <br />APPL[CATiON FOR WATER <br />tf,u'riHec,WcshinGton � t�,`��L� ��b _.19� <br />TO ii:E SU?EBIk7Et1D2i:' OF TH� MUF:ILS�G VrhiEB DIS?fii�': <br />1 herebp appl� for tne u..e o! w�te: ir. accordar,ce v:ith the :ulec and regulations o1 <br />tne b1u'r.illeo Viate: Distnct. <br />Dcring lhe time tha; eny o! tne wale: m�ins may be Idr.=^ up by re�sor. o'. aay im- <br />prc.�e:neN autne:ized bi tne L:�iric: in or o; any street, roac o: a!ley i: �aFich tney me}• <br />have �eer. la:d, tne L�sLict v:ill no: �e requi:�d to iu:r.i�h wate: durine ine p:�gresc o: <br />c�ct �:otove�:enl_ :c am� m.^.cumcr 'xroac suppl}' me}• t.^.•�c be cu� olt. o: �e iid:;le i... <br />ap)' ocma9C !�" ila lai!u:C 1c f0 ao. <br />TIIC ON'pCI SII:III hC I19�IC �b� 0PY ��I➢JECS lfI I�IL SCfY1CC COIIOCCil00. <br />r�eorraTS• <br />y <br />,� <br />�.��H��S: ���.-�. � � I�r-b�- ? 1'� �J . _ <br />�:�tr c.._ o! scvi:e �� �� —inan <br />: ra�_has 5eer, re_eivec v: iti; :iiis acpiica:ion <br />1 � � <br />Th� p:emises are tc be uced �s a�_i-, ��- � _,,,� G;�,_,__�,_ L' �r,�_______ <br />'� � i <br />"he cwn^_r ot the p:emises ic �� �1�i.'1�.� _____ __ <br />"'h_ aoent ie <br />The Distrir; recommends inctali�tior. o: c p:essure :egulating vclve. <br />?:coli:snt aae�owicdge= �aio::ac,io: es to the :ecor..menda:ioe a.,.. <br />hga,es �o inclall c p:^�:u:e regule;inn valve <br />Sianed <br />..��clmes to inxfal�i r�:c:::a:re rc�ulcuna v�lvc <br />%. _ _ <br />Si9ne� _ � _/� �%/.�-a' _— _—___--_ ___-- <br />I; is undcrs�ood tliat all comicc�iuns, includinF mctcr and mcm� bo>: �h:�li :cmain thc pruperty of <br />AtuF,ilixo 1Vatcr Distti:t. <br />i <br />� f�,� y ��� � / / <br />Signed � ! v ✓_—�—J /!/G' . -. Ov:ne: <br />Pd !i U 1p�1 ��1��rr.. � � I Zl.�-`i�rl{. <br />l� � - IJJ �1a.^.:C9 1.�. 1,(: � <br />h1UfiI:TEO Pil;icf; !�-a7--.-� �—��_.�_e'. hge:,: <br />U ,, t . / rr <br />3 Add:es�_� � - -�-�x� <br />FOR OFr"ICE USE ONLY: 7( <br />DATc COMPLcT�D <br />POST TO ACCT NO. <br />7; �/i•/S 2' 7L- <br />'�-/ �-'C! <br />._;i- - -.- ' % � _ <br />AI <br />T( <br />C� <br />