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y� ^' <br />A��,?1_:�..�ION ti0. ------- �— ACCOUNT NO.��^--`� �/!c Y= �OC L <br />MUKILTEO �NATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON 1 �� <br />b� <br />APPLiCATION F�R WATER <br />c _ c- � <br />1l.ukilteo.\Yashin9ton-- -' .19rs "� <br />TO THE SUPERUITENUEIv" OF THE tdIIi:ILTEO V,'hTER D:STRICT: <br />1 aereny eppl� to: tne use d. woie: ir. ac=o:danoe v+itl: tne rules and regulatio:t o! <br />the 1.".ur.ilteo Vlater Districl. <br />DurinS 1nc time tnat any ot ine wate: mc:ns nay be taken up by reasor. d un}� im- <br />provement autnonzed �y ine Distnc: ir. o: oi cay siree;, road or a!ley i:: wnic:^. they map <br />nave beer. iaid. lhe Dise�ct will no: nc required tc tsmsh v:cfe: du:ing ine progress of <br />sucn �m?rovemenL^ tc eny consume: wuo;e suppl; :neg timc :. cc! c!i, a:��. ii��ic :or <br />any dvma�c ior iL inilu:e rm to do. <br />The owner shall Ue liable �Ui 011C (I8ID01�5 �O lhe s_rvice connectiun. <br />,_�' �/',� ,.� <br />f'ROI'PIL'll' DrSCRII'TION: �7� �^�-�T �/ �' ' ".� .-' `` � � "-`. r <br />� �� T+ <br />�c, Z , � � �-v �` ��-�w.1-,�� -- <br />Fo�a�ss:—/l' '� /S % � �i�, ��_!✓'.� �.c,i . <br />St�lc aiae oi ser:ice '� ` ir.cii <br />S���� �� nac been received w�tii ti::c cpphmtior. <br />?nc premisc^. are lo be usec os a <br />'Cne ow•ner ol tiie premises ic =✓! ^" /�"�--��5-° =A " r•-:w�.:� <br />' �— r <br />The a9ent is _ � � � � �� <br />The DisL•ict re:orr.mend, ir.ctollation oi c prescure regul�tinp valve. <br />Anplicent arinow9edoes i^fo:ma;io.^. es to tite recor.:m^n�at�o' n:t� .. <br />hgrees to insicl� n:essure regiiletinc vcivc <br />Si9nc� rt � [ �/c^�— _ - ___--_- <br />Declines tc :.s�cll a F�essure reyulaling vclve <br />�ioned <br />It is undc�sluod that all conncctions, including mcicr and mc�cr bux shall rcmain lhc propc[Ip uf <br />\lul:il�\1'�r})vtict. i7 <br />1 9 <br />� � `-�Y.�: <br />t� <br />$IOf1Cp�^ , rJv::t^: <br />hd:A.Y 0 :� 196"�� � �„� � — . � <br />Aadre�, `, , `_`. ;�.��•i ��[..�.�:_.r �/_� a _-,� _ <br />i,-" J ;' �./ -7^✓r.`C� z <br />Id�UI(ILTEO 45F,��E D;S�`._ � ..��.�-_, % .a��,; <br />g hddrr.sc _ <br />TOTAL MATERIALS COST I- � <br />FOR OFFICc USE 6NLY: T� <br />DATE COMPLETE.D - / .•- �=�--------- AI <br />POST TO NCCT NO. _ ����� y_= �'_`�� __ _ T( <br />� G /SO _f9.7D Cl <br />GYc /C.7r - <br />