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10429 19TH PL W 2016-01-01 MF Import
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10429 19TH PL W 2016-01-01 MF Import
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Last modified
4/7/2017 7:54:35 PM
Creation date
4/2/2017 3:21:12 PM
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Address Document
Street Name
19TH PL W
Street Number
10429
Imported From Microfiche
Yes
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�" 2-/48¢ 2 <br />, i ��„ �'�� ..'Y.TIOh NO. �" � __-- — ACCOUNT tSO. <br />� MUKILTEO WATER DISiRICT <br />SNOHOMISH COUNTY. WASHINGTON Ci� <br />_` <br />APPLICQ►Tf4N FOR WATER <br />rf�,en,_,. v�»y:����� _ w� � �- �/�= � �'_. is � � <br />?O T!?E SUP�RII2TEISDEI:T Of THE IdUI,::.:EJ J�'I.TtP DISTBL„T: <br />i ne:e�l' aPFly io: Ine use oi wate: v�. cc.ordan_e v.�ilF, tne :ulec and reaulat�ons oi <br />tne t�u'r.ilteo V'ete: Dis!rict. <br />v�:ing the time thm any o'. the wcte: mainc may be tarer. up by reason oi vay �m- <br />p:ovemeN authe:ized by tne DisL-ic; i:: o: o! any �t:eet, road o: alley ir. �rhich tney n:cy <br />havc bocn laid, tiie Lis1nC �+:il'. not be requirec to turnish waler duriaG the proa:e=c o`. <br />sucn �mpmvcmer.t: lo nny c::ncc:�er whcsc aupply moy I�lll: C9 N: JL, OI D9 II�Di� �C' <br />eap damage :o: itc iailu:e :o to c:o. <br />7he ox'net shatl bc liable fo� an)' da�nzges to the seriice connection. <br />:= �, � 1�' <br />i�iaorF.ILTl' U[SCItIPP10N: �J �'- <br />�' �.� /i�/i�^ OX�? <br />/ � ' � <br />r.-,.� a F:.� i i� �-�C-n,�- n'-- _ <br />=:'=�� --.i ='=�-=-i �.�� �r'�r.Fe, cr�. <br />----- ; ;� � --- t�cn <br />.ncic :'...., cl __.,.-- — — �'-- <br />,S U��-,j_ �'� � ncs be�m reae::ed •A'itF� tnis appii::ctioe. . <br />..���-,,./�_ �_-,�,.,/',_:t_ �.L/,.,�[.i�ri.c�� <br />Tnc p:emises are lo be used c_ c G• � <br />: � -�'/!J ' <br />i_�-, =,i1_ C'/Y �('� ;�� .J_u,.L�t-',�� <br />� he ownec ot thc F:c:^isca is _. .'—.-.,.�._ <br />'"n•. ca�r.t is__. _-- <br />_1?�° - � /� / <br />;im G�sL•ict re:cmm^nds mstalicY:or. o: e prec�ure regui�ting valrc. <br />;,ppiicc�t ❑ci:now!eopes inio:netior. ac ic the reeomm�_ndmion and ... <br />e; to �astall c p:essure regulatmy valve <br />De:!:�os to i�is�ll do:eE"sur�:eg'uleting calve <br />i <br />I; is imdecsluod thaLal(connect ns, �ncl mg me�er and mete: bo� shail remain the property of <br />Alukiltco Watcr Disicict. <br />L , ,�� ,� ��/ , n <br />�y d: ' � q �;gned �Gw . i / —� . Gx•ac: <br />i' f^: P F../" �l /_ .'i�L'-C = C....R_�. �i � n r._�� <br />/a / <br />�.�'3�E55� / `./p.!! : _i°2.rr ;/.1l<� <br />1 ^ ✓ a��z ° <br />�'' "' 'I:;"t. .��-�.{�, i �f <br />�,.�;., <br />e�• -- -- r,��;,: <br />�,t�,i����� v;���r, r�i:�. <br />TOTAL MATERIALS COST <br />FOR OFRCE USE ONLY: <br />DA7E COMPL'cTED .— <br />POST TO ACCT N0. — <br />„ <br />
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