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10401 19TH PL W 2016-01-01 MF Import
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10401 19TH PL W 2016-01-01 MF Import
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Last modified
4/7/2017 7:16:28 PM
Creation date
4/2/2017 3:20:26 PM
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Address Document
Street Name
19TH PL W
Street Number
10401
Imported From Microfiche
Yes
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�p�✓cF.�,o�a rao._ l`� `I� _ nccounr No.Cl�c— '.� � <br />f <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON L <br />- �� <br />a�RP�ecarion� Fo� was�R <br />� p <br />1J.utiheo. Wasnin9ton —=� � ----• 19 0`� <br />T�:� ':Y.c SU?ER[iQTE1tDEtd; OF THE MUI:ILTEG VlhTEn DISTRIC?: <br />1 ne:eby appip fo: ti�e us� o`. w¢te: in axordcnce witn lhe rules anr. :egulatioas o! <br />lnc ldukilt=o Wote: D�strivt. <br />Du:iny tne ume that any of Inc water mains may �t- ic'r.e^ v[ ny re:rsor, ol cnr im- <br />provement cutnorized ay ihe Lstric! ir. o: o! ar.y stre�!, ro�d or alley ir. �vh�cti ineg may <br />have eee:: !a��. tnr Di;L•ict wili no; be required ic lumicn •.vate; cu:inq fnc p:ogres� o! <br />succ improvenenL to en;: .-or,s::me: v;hose suppP� ::�ap tr.•lc 6_ _.:�. e':. x be li�bie lcr <br />�np dcmagc io: its lailure se �c do. <br />Thc owncr xhall bc lublc (ur any damaFcs to lhc scrvicr cnnnection. <br />PROPLRTT DHSCRII'7lON: !�C`T <br />_ 7r.�JC��7�>a7 �ST�?T6 S / )� ��— <br />�C <br />ADGRESS�. �C' L���9 - %�' � -- <br />� <br />"��atr. ,,:z�. ot service � _. :nc :�� <br />V�, � �1�� <br />: __(11._L:1_has be=r. receivec x�:;i: :h::�. appLca!ior: <br />Tne Prems^s are to be us�� as a �^ �-�^ J�{: '�''�Q-a-�o� � c <br />L/� � !.. / �!7 <br />"'ho o�r: ae: ot tne Pr^m:�e<_ :.. . —'-t-T-���� --vt'7=^_�/���19tq._Ll� '� <br />L' ` <br />Thc a�ent is <br />ihe Lisci:; :ecom:�=_nds ir,;i�IlaLon o• c p:essure reguletia9 vclvo. <br />i:ppli^ar.t ar'tnowl^�7^� i^;v::.^.atio.-, es to ,he reco--:n^nd;ncr. e::d <br />�.g:ces to inat�ll c pressure:eaulcting valve <br />�edi:�e�loir.stall�'•:essu:e:eg�u{/fiy,n/ g�,vah�c <br />S�.aned •� �''1�.� 'l ,i✓/[��ii! ___._ _ <br />h ix unJetstood timt alt connec��s�in,ludinp mete� und meter box shail remain Ihe pmperty of <br />�tuF.ihco \tlatct UistcicL / <br />� ��/�q�� �A <br />�J R (� Siane� 4—,`=-==.�`'��-(�.�!^`_''/ --- . Ov:ae: <br />C �t 6 L./' �' / % l i 7' 1 c <br />f� n L hdd:ess��r �c�__� .L� !,%'�'7X%� <br />.�i�f" (,� �'. �`�C.'i a�. �L ��L� _ �VE.��I . Agcr,t <br />i�uni�rFo wFTEa oisr. ti�_�����13 —_ vFu�� <br />TOTAL MATERIP.�S <br />FOfi OFFICE USE ONLY: <br />C��MPLETeD — <br />DATE . <br />PCJS7 TO ACCT IJO. ���.-- �--�- a���� - <br />�l-2 � t ' �_-�- <br />
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