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pPPLiCATIOIv NO._— � r' L'__ _ ACCOUNT NO O=/SISQ��� <br />MUZF TLTEO WATER DISTRICT <br />SNOHOMISH COUNTY, WASHINGTON <br />APPlICATION FOR WATER �� <br />Mukilteo, V�ashington �'� L''--� �, . 19_� <br />TO TN= SUPERINTEIdDE17T OF THE 1dUf:IL7'EO WhTER DfSTRICT: <br />1 here6y apply lor Yne use ot wate: in accordance witn the rules and regula�ions o! <br />ihe Mu}.ilteo V'ater District. <br />During tne time that any o1 tnc waler mains :na}• bc tahen up ny recsor. o( any im- <br />provement autnoriz=d �p tne District ir. o: o( any street, road o: alley in wnich they :n�y <br />have beer. laid. th� iiistrict will not he required to iurr.ish waler durina the pmgress ol <br />such improvenentc tc any com:umc- wnose supply may fau; be cut o1i, o: be hcble iar <br />any damage for ils lailure so tc do. <br />"fhc owncr shall Uc liablc for anY damaFcs to thc scrvicc conncction. <br />S b f i t� 'Y'�C'�l.\ <br />PILOPL•RTti' DESCRI!'TIO�: I�-C T'� C..,l 1• <br />�'�.�._� ,� l� I V a. <br />ADDa�ss�. 1D'31G- IR��` ��� l.c. <br />Stale size of servire ��i} incn <br />$_� `� C' nos been received wi;l� tnis applica!io:�. <br />Tne premises arc to be used as e r�'�-^^ �-'�"L' .4 �n..._.�._;: '�C a � r`�.,ti�_1 <br />inoov:ne:o!thePremisesis C��+-��^•�C,. 1 ,�"'`� -- <br />u <br />The aqen. <br />� �e Distriet <br />Acplicnnt c <br />Ac:ees fo install <br />Uccliacs to <br />Sigr.ed <br />inst�lletior. ot c p:ecsure regulafmg valve. <br />ir,ic:matior. us to the recommenda�ion anc <br />c precsure regulatina valve <br />It is tmderstood that all connections, includinf, mete� and meter boa shall remain lhe propertr of <br />AluAiltco 11'a�cr Uisvici. ,-� T <br />i M 1 � 5�g� //,. % �/ .�!�.•-v�;�,�iL-:--!�". Ow•ne: <br />Addiess � L' l�C'X �^�' <br />.� i.� L 1.I ��..� i By � l�C ��i'N � l, iV �/ � Z � � , Aaent <br />MU�ILTEG t1'A�Ek DIST, h���,- L'-��4������ n 5zZ�7.� — <br />C C-ni.� ir � <br />TOTF;L MATERIALS COST I "�:,e�� <br />FOR OrFICE USE ONLY: <br />DATE COMPLETED <br />POSTTO ACCT NO. ✓��� :'�� � �� <br />TO� <br />ADI <br />TO"� <br />CU, <br />