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APPLIC/.T�t: <br />� <br />�ro ��--- — nccouNr No.' -, . ,c� ;r�r <br />� <br />MUKILTEO WATER DiSTRICT <br />SNOHOMISH COUNTY. WASHINGTOh <br />�� <br />APP'LlCATION FOR WAiER <br />,� <br />MukiNeo, VJeshincton � �'E' . 19� <br />TO THE SU?EHII:TrIJDEhT OF THE MUKILTEO V�F.TFR UISTRIC7: <br />1 n�reb;: app�?' :c� th� uce ol waler in accordance x�ith tkie rules and requl�tions ot <br />tne Mukilteo Waler District. <br />During Cne time that aay o1 ihe wafe: mains mcy be �orr.: cF �Y reaser, of a^y im- <br />provement autho:i:ec by ine Distric! in o: oi any ct•eet, road or a!Icy ir. ��:hic6 thep ma? <br />nave becr: la�d, tne fiist:ic: will no: be required to lurnish wate: durinc Cne progresc o; <br />such i:�pmvem^_Nc �o anp ecnscmr: x•nose �upply may ihus ce cut di. �r �^ iia�le io. <br />c�y dvmage fa itc iaiiure so fo do. <br />The owne� slull be tiable for any damaFes to lhe scrvice connectiun. <br />PROPGI:I'7' DCSCRII'TIOT: � "'" �� � �� <br />_� C <br />i CLU� � ����� e-��� �e ,—_ — <br />�� ��,��_, ��� � � � � ��` r�. �.- , <br />.,UDR�55: Ti.� ,)ZT'� C�L.�' -�, <br />Siaie cize cf sec�ice 3/� inen <br />L�,�` <br />`_1�1� __has been received v:ith ihic app!icauo:. _ <br />The pt^micec cre to be usec cs a�^ t�- -L�LI=^e�-��"' <br />�� �- . �/ �-- <br />?'he ov: �e: o! fne Prcaiisec i= _ �'-�-' l �< - <br />The aaen: �: <br />The Dic!:ia rocommendc roslallcd�on oi c pressure repuiatir_ valve. <br />Appli:ant acY.nox•ie�aes iniormatior. a� lo ine recommenoatior. ❑:d .. <br />hgrees tr ir,afall c p:er,urc regulatir.g valvc <br />Signec --- ----- -- <br />iivciin^_s lo insta� ''� e•su-� a ctin v�lvc <br />Signed Y., l/ � /14 �L�: __ ._ —. <br />It is miderslood [hat aI! connections, mclu �� metec and me[e� bm: shall remain lLe property o( <br />\tukiltco 11'atcr Distriat. <br />_ `� <br />!i <br />�-'t '� L.�r� %Si4ned ,✓J;� L "G=_ , Owne: <br />!`: � — — <br />. . - Fi .' .. ., hdtirec�_� �.��-C_n�(1Cc_-i.� ll.��i <br />5�• 5 CI ��i l 5� � . A�e.^.t <br />I��UI;I:i=6 V�I,Tc't: ,-���.' <br />� Addresc-- --- --- <br />rOR OrrICE USE OIJLY: TOTI <br />DATc COMPLETED <br />POST TO ACCT NO. _. C� ��-`��� � 7 �-f <br />': I- � <br />ADD <br />TOTi <br />CUS' <br />