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/�.��" ,- : <br />l.PPLICkTl0tdt70._ ____I_— .4CCOUNTISO��-+c•.-.I.7_�7G�%C. <br />�`� <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WF.SHINGTON �� <br />�Q�PPL@CAi1aN FOR WATER <br />ldukilteo, VJc.hington _�—�--. 1995 <br />TU YH� SU?ERiWT.Et4DF.t4T OF THE 1tUl:ILTEO V;ATER DISTP.IC.T: <br />! nc:eSp appl}• 30: ine use c: waie: ir. accordance xvtF. ti�e :ules and reguletions o! <br />lhe N,uFiheo Wcie: DisL-i:t. <br />During tne t:me lhat any o'. the wote: mains mcy be tacer. up by reascr. o! any im- <br />prove:nont autho:�zed by ihe vistric: ir. o: oi ang street, roac or �llcy in •++nici: tncy moy <br />heve been laic, ine L'istn:t v;ill �ot be required to (u:nisn v:cter tiw:n: the prcyress o! <br />sutn imp;ovemenls to an� consumer wince supply may. !h�,:c bo :... ^I:, o. .., '.��a'sl�� i�r <br />any dama3e ior �ta Iailure so lo do. <br />The owner shall be 1ia61e tor any damaFes to the service connection. <br />rxorcirr�� �esca�rTio�: 1-�` � �.� — <br />E�.�r���_����te��i�. � <br />;,��a�s5 .10 �I ca. 1� h P I� l� �- <br />�vf.r�-h v.� a _ �,��.oy — <br />State s�ze o'. service �� �— incn <br />;_7_L�J � has beer. received witn tnis aFPlica!ion. <br />`�,, �,�� n <br />?ne preT ises orc to be used ca a�2_t. � f C�_1 �- ��%n� � ����^ — <br />/^. 7 <br />i ne ov: ae: oi ti�e premises is y__�_n1 �C��—'�i a.11 _— <br />,.�c a�ent <br />?he Uistric: recommend; instafiation o; c prescure r^�uiatina valv:�. <br />Lpplicant acknox•Ie�7es info:mattor, as to th� re_or..mc�dation cnd .. <br />hgre�s ic insia7l.c p:esaure mgulating vah•c'l` <br />S�an= / \� �.,'-J ��'✓ ,.. ,�� <br />:�ec!i�es t�ct@t�esure:�4uiatingv�lve <br />Siancc <br />_, j -1 ' -�, i�_I � — <br />It is undcrstuod tha� :dl conncctians, includin� mctcr and mctcr boC�shail rcmain the properp� o( <br />\lukiltco 14atcr Distric�_ � <br />P A ( D ` �` �- ��; <br />Signed '— - 1`�'J . � - �_•-'��'^'�� .. Gvrne: <br />J A Id 1� 1985 :.aar�,� �— �- <br />MUKILTEO WATER DISfi: -- <br />E .,ddresc <br />�IL' <br />TOTAL MATERIALS COST �v� ' � <br />FOR OFFICE USE ONLY: <br />DATE COMPLETcD —�--- <br />POST TO ACCT NO. �4 `� �� �� �—� <br />_. Aaent <br />