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APPLICFT 9Pi iac �� _ _ ACCOUNT NO.D..2L'—JSI�,�LC-'P <br />° RQUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WP.SHINGTON �^ <br />15 <br />[Q'aPLICATi01� FOR WATER <br />�"` << <br />Mukilteo, Washinglon �- • 19 � <br />70 TH'c SUP�F.'.I+TEIQDEIvT OF THF. MUY.lLTEO V.�hTER DISTAICT� <br />i here5y apply lor ine we ol watnr �n accordnn_e with Ihe rules and reguiations of <br />the t+tukiiteo V!<rter District. <br />Dwiny the time that �n. y of the wale: mains may be ta'r.en up by reason of an7 im- <br />crovement autnori.ed by ihe Distric! ir. o: o! any ctreet, road or clley in wnicn thry may <br />have be>r. IQid, tne District will no: ue required �o iur.^.ish wafr. du:ing inc p:ogrus o; <br />cucn im,provcr.:crd� lo �ny consumv: whose supply may thuc U^ =ut off, o: �c iidrlc ic: <br />any damagc fo: �s iailu; e so to do. <br />"fhc owncc shall bc liablc lor an}• damagcs lo lhc scrvicc connectiun. <br />!. � <br />PItOPL'I:TI' DESCILII'TION: �^c � ? �, �`� �„ �"^�� u i1n <br />r.��e�ss:— I u�c• 6 1�i <br />` `` � D �.� <br />Stal� -`ie o: service �/'-I inch — . <br />� �i 1. i�` �as bee.-. mceived witn thia a�Piicatioc. <br />Tn� premises cre to be used as c %\J.-.�- ��-�� � f. `^ �'— �' s�� ��. `4-'�`�� <br />� <br />� .. <br />ihe owner o; the F: ��nises is ', �_r '�-.,. �;�•_� i, 11_�'.�,� <br />\ <br />The aqent is_ <br />Tne D:ctnc: recon:ne� <br />A;;plican; acenoxleti <br />Anrecs tc install a ressu: <br />S:onea <br />Decl:nes �e i� �..-.. R'essi <br />Si9�r� — /. <br />It is undcrslouc.✓U�a[ all <br />nm�:m�� ���rernisu�:t ' . <br />.�... ' Sinn^u <br />:ti.::. oi a pressure rc3ulating ��alve. <br />❑tien ec fo the recommendmier. und <br />: valve <br />shall rcmain thc property of <br />Owner <br />. -. _ hddress ��=�.r;t_�./�1-�-- — <br />,...,�....�._ _ :..i�A�. � ,"?�- --2 . Agent <br />g tiaa�����_>�—=- i�,;>_ f_��.�.1J� <br />FOR OFFICE USc OIJLY: ��� <br />DATG COtdPLETED __. _____-�"_ — ___ <br />POST TO ACi:" N0. __ " �;"=— %-= ?=• <br />: j � iJ <br />-. _- I' __.. '1 - <br />AD[ <br />TOT <br />CiU: <br />