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tTiaa �ao. /%S -- -- nccounT rj" 2G- i6 860Ce. <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />�� <br />APPl.ICQTlt?N FOR �AfATER <br />Muiiltec. V: ¢shinglon —_L__/— � � , 19— <br />TO THE �UPEAII2TENDEN? O' THE IdU}:ILTCO V.'F.TER DISTRICT: <br />1 ii�reby ap,^.I; fo: the ucc o! walr. :.^. acccrdence r.ith the rules a�d :egulations c! <br />the 1du'r.ilfeo VJme: DisL-ict. <br />Duriny :nc ;:me inat any oi the water ma:ns mcy ne tcher. up cy re�son Ci cay i:�.- <br />p:ovement autno:i�ed 'ny tne Di;LiN ir. or o; an;� s�:eet, :oad o: aliep m whicn �ney may <br />hove b�er. lmc, the List:ic: wil! not be requircd !o fu:nisn wete: during iha proarecs ol <br />such :m,:ovemenL :c a�y CD.^.Sp-1G' M'FIOSG LL�rIY :ilp�' IIILLp UG eu; ol!, e: be Lclile is <br />o^g domage lor it_� Icilu: e cc to do. <br />The o«�ner s!iall be Gablo fo� anp dam�@es m the service conneetiun. <br />� <br />PItOPERTI' DIiSCRIPTlO\: ��C` T_ /.� / `��h� <br />r <br />`_` ` . <br />----C��Cci��-� ,/�i'S.�� � `..�2C..o !C%- <br />..�_ i <br />AC:7HESS: � CJ � �� � � l.���- <br />Statc si:e of service `'�''� mch <br />i <br />�`% /Si OC_has neer. receivec with ths apalicatioa. � <br />r � <br />".!�e ,-r.cmis^_s cre to bE used as c � < u' f � ���'?�L- - '_�-S,t �_ ���-'S� <br />� <br />v � <br />Ci�c ou�ne: o! th^ premises m_ ��:�'4 ! <br />�.-".�— <br />� � -� i .- �-,-� <br />T:�c agen! i� <br />Tne li:stric, recom.^.�end� ms�allctio:, ol <br />%�.,^.plicani acYnow!edacc information a� <br />h^me: �o instali � F�essure regulatinn valve <br />Sinnec <br />� �fL^.�tJ' iJ�LF2..� <br />a pre��ure regulati�g vci;c. <br />Ic thc :ocommend�tion anc . . . <br />_; c:iaes tc inat �11 q�o:es,ur= reguiating valve j, <br />� / <br />In,^.cd - —'_ . _'_��'-, V ____. <br />,. / - <br />It is understood ihat aIL'ionne;tions, includin� meter and melet bos shall retnain the p�uperty of <br />Jfukiltco N'atcpr Uistrict. ;� �� <br />� t"�� i �.r .i� � ,�. .�� ,-�. _7 -,_� �� <br />Si9nec — __— �'��. Own^r <br />,i <br />il;Ul(:'.: - <br />'i0C?hd�ressl��`l, C� % /�i "`� �t!_ �� � _— <br />•�i i,Ci'�y' ''i,/._/i� _ y.qea', <br />} --=— - <br />/�ddress__ <br />II TOTAL MATERIALS COST� <br />rOR OFFICE USc ONLY: <br />lr r7_`� � -._ <br />DATE COI�4PLETED . --- - ---- — " <br />IL//�H: li'.iL__ <br />POST TO ACCT NO. . <br />�.. �., 17.N <br />� - <br />--��`---- ��`i�-- <br />L ' <br />