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i <br />:,F?LIChTION NO.---- � -_— — ACCOUt:T 1J0.��> /yOcl'_ �- <br />=� MUKILTEO WATER DlSTRICT <br />SNOHOMISH COUNTY. WASHINGYON �/� <br />v� <br />J <br />APP�ICAT[ON FOR WATER <br />�-= <br />hiukilteo, Wa¢nington L�� •19 �—`i <br />TO TH� SUPEnItt?EICD=IdT OF TY.E NID:1' TEO VJATER DISTRICT: <br />I hereby apply ior fne uae o: ��ate: in accordc�ce with lhe :ules and regulations ol <br />the t✓,ukilteo Water District. <br />During ihe time thct any oi the wate: main� may ne lcY.en up by recson ot anr im- <br />provement authorized by Cne Distric; in o: o: any ctreet, road o: alle� in «�nicn Ihey may <br />navo b�er: laic, the Dist:ict w'ill not be requirec ic nu�rniihuw �ar duroiG t�he�proar��e'e oi <br />cuc'n improvemon�c lo ar�y consume: whose cupp!}' y <br />any dcma�e icr i!s lailure so to do. <br />The owne� shall be li�ble (ur an}' damages to ihe scrvicc connection. <br />� <br />�vT Ll �'�L.�/, ly.. �a�. (�r: \! �i "_ <br />r�aorrtc'rv uLsceirno�: — <br />h[ �DRESS: � L%�-+ t �I � 4 n• � C. L-v' <br />Slete size o: se:�dce -�i mcn <br />g�_ ���� <br />(�= F.as been rec�ived k�ith th�c vpPlicatior.. <br />Th^ Fremises arc to be usec as a�i'L'`•� °.�" I t-•`., �1-^`-- --- <br />� ' <br />(� I �'� 1 <br />Lhe ov: ner o; fne Fremiaes is `. ��� �" �^"�"^ �"Y ^�`�t'� _ <br />?ne ag^_nti:_ <br />% <br />Ti�e Dish�cl recommend;'�r.;.� lr.tio� o`. e <br />ApPlica ' acl:nowlcapes ini^..:ai�,n a� <br />hgrres to ins�a ���. ��� .�5 JtQ1.. <br />S�gn�d —.-� _ ��-- <br />Doclines to insicl �, L'ie �aul¢ti. _ ve <br />� �� <br />Sign^c — , <br />h is undcrstund t#fat all conncctium, <br />U u �: i I � cu '�14at r,r_ 4 if (c i c E t <br />Signed <br />:c :egulating v¢Ivc. <br />:ecommendation cnd . . . <br />shall <br />property of <br />Ov.'ne: <br />nadres.. l"y/l" -%��=-/—�— <br />�i��.�������C� ���nlCl{ �I°ii, i- ���:_.'urt'� � JP �%U-. L� z. , A9ent <br />'�T ---- — " � <br />g i�3riresc--c c� _ 3<' �� : '_�xi: ��•✓.knS: — <br />FOR OFFICc USE ONLY: <br />DATE COMPLcTED _______._�"'! <br />POST TO ACCT NO. �='" >`` =' S• 7___ <br />�='Y !u.'.� 4 <br />- '�- <br />TOTA <br />ADD, <br />TOTA <br />CUST <br />