Laserfiche WebLink
o. <br />nccounr raoC�Q-/ iC�%�- <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />l/ <br />APPLiCATION FOR WAiER <br />Efukiheo,Washin4ton��'��' .'�'` � � —.19�� <br />TO THi SU?£P.II7T�NDEI4f OF THE tdU}:ILTEO WATEB DISTAIC?: <br />! he:eby �ppl}' ior the use ol v.•ate: ir. ac:o:dance v;ith fhe :ules and re�ulations of <br />the Idukiheo W¢te: Distric!. <br />Du�inS ine time tha' an;• o; ihe w�ate: mains may be laker. up by reo�on c: c�;: ic�- <br />provemen; authc:ized'ny tne Lisiricl ir. or o! any slroe:, roac o: alley i:� v+n�:h tieg ma;.; <br />nave bcer. laic, tne Dst:ict will not be requi�ed to iu:ni=h wale: du:in9 li , p:ogress o: <br />sucn improvcmentc te an�� cor.s��er wnose supply ma�. tiric i;_ cu: o::, o: b�• i�.d:l:, io: <br />cny damage fo: iL, iailu:e so to do. <br />7'he owne: shall bc liable for an)� damages ta Ihe service connection. <br />r�zorr;r rr nt_s: r.�rrion, ._, . r, _ ��..1r .��_,__-_ ' �..: -��L <br />u <br />! � � <br />kDDAESS:—I r'�C '� I G� J��. L_� Y i^��__ " -- <br />Statc size ot sercice �I U _ inch <br />��LS_�-' Uhas 6eer. receivec u�d'n t6ic cpplicctio::. _ <br />TneP:emiseccrelobeuseda�a 1�., -\ ( �t4�i-�s1 -. --`='��.��-.. <br />�� \ <br />ihe owner o't tnc P:emi�es is '� � ,..a� �'�-��:.��-�� <br />l <br />7hc. ac�en; <br />Tne Listnct recomr..ends :naialletion o! a p:^scu:e regulating valve. <br />P.ppLcant aa'r.nowlodaea inicrmetion os to Ihe recommendvuor. c.:d . <br />A>'^^: lo instai! c presaurc re9ulatinn v�lvc <br />S�gned <br />Dr,clines to <br />S:oned <br />It is understood that ali wnnections, including me�er and meter bur s6a11 remain the pwpert�• o( <br />11uLilleo N'alcr Uistrict. '�'�.,: - . <br />C- �'< <; � Sia.^.^-d.��.�''�' /- .� 1�,._:.,.\\Ov:ae: <br />` <br />' �- r.:. 2 ..'. jQ�j•'': hd9re�-_ <br />p,. � .y <br />�'�, ��'•�� 7•9��'"en =. F.Ser.t <br />.k-1 -- '� <br />���ur;i���c� �4'=?�R DIS1�:.� <br />, �,;�:�;�_2/lG 773 i= t9vr Sr'L <br />�,i"��raC %Fi�/-�73�f--- <br />'rOR OFF!CE USE ONLY: <br />DPT"c COMPLETED — <br />TOTAL MATERIALS COST /� ��� I <br />3�2��- �_��__ <br />POSTTO.ACCTNO. n`�r _--%S==z_�-- <br />�•(•a �i.b�i <br />-- `SY ---- r �/ 4. <br />