Laserfiche WebLink
fi. -lCAT1011 �ao. �� �' —� r— pccounz rto.C��"/6b��'f <br />MUKILTEO WATER DISTRICT <br />SNOHOMI�H COUNTY. WASHINGTON � O? <br />J <br />A�PLiCATION FOR 1?V�ATER <br />MuEilteo, <br />�VvninBton � _ l\ , I9 ��I <br />YO TH� SUPERll:TENDENT OF THE tdUl:ILTEO WhTER DISTPICi: <br />I he:ebg aprl}' lor iho usc; ot wate: in accorc�nce wilh ine rulec and regulations oi <br />the IduY.ilteo Wote: Discict. <br />Durinc ine Lne ihat any o1 thc x•ate: mains ma7 be taken UF b�' cea;on o: ar.y im- <br />p:ovement autno:ized bp the I'iicLict ir. o: o' any slrect, road o: alley ir, wnicn they ma'r <br />have neer. l.^.id. tne Dict:ict wili nc: ne requireo to iurnish v�ater duang th= progresc o! <br />suen imProvenentc to any c-nsuair.r �'nose supply may l'nuc �^ cu: oC. a h<. linui�. :c: <br />any dacriagc fo: iL :ailure =o to do. <br />Thc owne: shall 6c Gable for anp damugcs tu Ihc sen•icc connectior. <br />I'ROI'CR'fl' PIiSCRIPPION: ' ' I � ��� ������ <br />�� ��.1 ���V � <br />ti����ss:. <br />I C 3 a� l�l `�` ��l . w <br />siate s:ce ct �e:vfce ��---;ncn <br />y�� � SC� __hac beee :eceive� uitii f�i; aPPlimtio�. <br />The premis^s a:e to be used a, a ��'�'" ��' I"""``-`�� <br />�=�, �------, <br />; he ow•ae: o! the premises is ��� ���..� �O�"`� — <br />?nc a4en: is .___-- <br />Ti�e Dist:ict recor..:nends installahor, oi a pressure regulatmG valve. <br />n;.pli:ent ad:nowled��s inio:mation c� to tne recomm^ndalio� a:�,� ... <br />�,rees to instcl��Tqs;ur= regui��inc�A!5e <br />Sipn^c �1 i' = . ���=� w� �� � ---- ---- — <br />Deciinec to ir.stall a pressurc regulaLnq v�lve <br />Saned _ - --- <br />❑ is undccstood tl�al all connrciiam�, in:IudinF meter and meter box thall ��main the properiy of <br />Mukiltco N'atcr llistrict. -�1 c� <br />Sia�� t✓ �� �C �� fi��.2v '.� , Owne: <br />� _ C /, <br />P A I D „aa:��r�c� ���x l, i <br />J U L 1 J 19� ; a� `—�r� ��`Cc� ��A . h9eat <br />P.da:cas �" �� C.,\ tri, (. (�-���" <br />�IrfIIhILTEO WAiER DISi. r,��u�..�-m e,a�-Zi��� GCc��-i�-�.� i��� <br />✓ �l <br />T07AL MATERIALS COST I �I ' � � <br />FOn OFFICE USE ONLY: <br />DATE COMPLETED _ --�— <br />3Ys ;�L7�- <br />POST TO rCCT NO. _ <br />