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'. _n.hT101d t4Q � G__ � — ACCOUIdT 1dQ1�L'�__�5(%S�'='t='L <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHING7fJh �� <br />APPLICATION FOR WATER <br />!l,ukilteo,Washinglon��a�' �`�� ,!9 u. � <br />TG THE SU?ERll�:':ET7DE17T OF THE IdU1:ILTEO Y.'hTER DISTRICI: <br />: nr.cip cp;.!y :or f:ie use oi watn: m accordancE wit't ine rules anc re�ulaticr.c oi <br />!nc t.'u'r.illec Wate: Di�tricl. <br />I-�u:ir,5 tne :i:ae tnat aa}• o( tne water mains :::ap be �aY.er. uo by :eacor. ct cny �m- <br />prov�rruent �cinorized by the DisLict in o: of an}' s:re-:t, road ec cliey ir. which th�y .^.�cy <br />nave bee.-, I�:d, ihe District will not be �equired t�: i�imisn v:ater durmg the progress o! <br />�ucn improve:�.ie�L^ to am� con;u:ner v;�ose si�ppl�� ��.ay ��uc ee cu1 ef;, c: be liabl� ier <br />:r.y damage Ic: its foilu:e se Ic do <br />The ownr. shall be Gable foe any d:�mages to thr. se�:�ice ronnection. <br />29tOPG1:T1' UGSCRtI'TIOK: <br />��,:�A»�r,4� `10�2 �j��2�'' � — <br />��DaLss:�� �—l�iLpL�, —'��l' � 1�3 <br />State size o1 ser: ice _..�1'�-- incn <br />00 <br />�� ��=hcs bee ::e:eived witn this noplicatior.. <br />Tnc p:emise� are lo ee used es a �� � G J-m I� �� � <br />"� I <br />T. ne ov.�nc: o: the F:emises is ��_I� I C� Ii �.1�{^i � ___ <br />Tnc aaent <br />ihe Dictnct recommends mstall�t�on oi c presaurc mgulating valve. <br />Appliccat ❑d:nouledqes mio:maLon cs to the recommendation and ... <br />hg;eec to inst ! r, o;essu^e ;egula(iag vah'e � <br />.. \i ;, �. \:.,�.�,..._ <br />.'Jeciines to'in`�taii c pressere re3ulcting valve <br />Sianec <br />It is undcrstmd thai ail ronneetions, inciuding mcicr�and mctcr box shatl rcmain thc property of <br />AfuLiltro lt'aicc District. � 1 <br />P� p E� Si9ned �,.tr��' � \".y I QWSICf <br />� L_ i <br />JAId � � 1965',aar��� <br />9p _ <br />MUKILTEO WkTER <br />¢ <br />TOTAL MATERIALS <br />FOR OFFICE USE ONLY: <br />DA1'E COMPLETcD __ _ . <br />POST TO ACCT IJO. ���5 S �. a-�t <br />'?J.j <br />l,gcnt <br />TC <br />AC <br />TC <br />Cl <br />