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hPPL�d.TlOtiivQ___��_._• ACCOUI:TCIQ�t'=«�/GGfY'L <br />F' <br />� <br />MUKlLTEO WATER DISTRICT <br />SNUHOMISH GOUNTY. WASHINGTON <br />1 O� <br />rAPPLiCATfON FOR W�ATER <br />,_ � <br />Mukilleo, Wo�hinaton_ .-{�T —.!° �= <br />T:J TH� �J?£?I1:TE!]D�NT OF ±HE 2di1F:ILTEO WhTEB DISTRICT: <br />: nere'�; ap;.IF lor ine use ol water ia accorcance witt. lhe :ulec and re3uletior.s d. <br />ihe tdul:il;eo Vleter Distn:t. <br />Luring ine time thm any o.` lhe waler mcinc may be Icien up by reesoc o! ur.y im- <br />p:ovement aufnorizec by ihe District ir. or o! ar.y sl:ect, rocd o: alley in x�hicn !ne;� :aa�; <br />iiave beer: laic, tne �4ctricl w•il'. no; be :equire^ to lu:nisn wale: du;ing the pr�nresc oi <br />cuck: r. F^o�•,.m^r•^ to a^y mr.c:mier whcse su:.ph• r.ia)' :hus be cu: of:. o: b., �.,^b;o ior <br />ar.;: damoae io: ite. lailure so to tio. <br />'fi�r mencr :hall br liable for any Jamagcs to lhc sen'icc cunnection. <br />C �+� - <br />riaorexr5' UHSCRIPTION: L-c T � ln I-fu �'� .• �_,.,.' _ ' <br />�iJ � <br />� L� �' ci C r1 1'l^ n. (.J_-� <br />nDCr::;S._ � - � ____ <br />S;atc c:z:� oi sereicc �= `.i —inch --_ _ _____'_--__—.___ <br />;_� _;. � hcs b=_en received witi ihis appiu��:os. <br />� '— <br />Tne p:eT.isec are to b= used as a '��. �� c_ Cc,� J.. r._..�_ __ ��,_ �. ___-__ <br />�_ul '_� <br />t'^� <br />ihevwne:olt�eF:eir:isesis � 1�.!..-.vf�._c_ 1'_��.:"_...2 ______ <br />Th� ao^n! i=_ <br />T�e Disinc: rece��.a r. <br />I�pp!iccnl ac�oY�ledg <br />i.g;cestoin::t/❑p�cpmssu:c <br />S:o.^...❑ i_--- <br />Dcaii�^c Ic ins�all <br />Sica^:: -2— <br />/ �/ <br />Ic is undc�� tnod that all conncc <br />\lul:ilico \5'atcr D[scrict. <br />� _. ; <br />�" • � , _.. Si4ne� <br />ior. o! a p'^-s�ur� r��gulatinq ��d•:u. <br />:ioa ec to the rece;nmendatior. cr... <br />valrc <br />metzr }ui3-x� cter Loa shall reniain the proprrty o( <br />/� / / � <br />OY: RC: <br />, , . _ . i�dd�p.< � rr /?-!J `�( .�'_7_— <br />t �I , � � � � �_�� �• , hae :'. <br />. ---`�� 6�1, cY: i L . ' = T - _ <br />� �. ..' hdcrc�s - .�._--__ �:_.� � 1 --.- � �—..___ _ <br />TOTAL MATER�ALS COST �• V� <br />`rOR OFFIC� USE ONLY: ' _7 '.LI - <br />-=---- -- <br />loi/?_`r,- 7��7C�— <br />/5`'_ l�:X����� --- <br />__[,C.-- L ° c ��' --- <br />pATE COMPLETED <br />POST TO ACCT NO. <br />