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10225 21ST AVE W 2016-01-01 MF Import
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10225 21ST AVE W 2016-01-01 MF Import
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Last modified
4/7/2017 5:52:06 PM
Creation date
4/2/2017 4:14:52 PM
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Address Document
Street Name
21ST AVE W
Street Number
10225
Imported From Microfiche
Yes
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- <br />Tap No....: n �— � . � ............. <br />MUKtLTEO WATER DISTRICT <br />$NOHOM,ISH COUI9TY, V/RSHIIJGTON ��7 <br />D <br />APPLICATION FOR WATER <br />.411 b1anL•s mus[ bc fillcd in or crosscd oui <br />� / . <br />� � i � <br />rfukiltcq N'nshingmn .�.:�.: � /._.-�.� �•� _..__... ._...., 19-�/. <br />T'O TIiG StiPBRI\TC\DI:\T OP 'IHB \iLICII.TE� R'ATER DISTP.ICT: <br />i hereLy appl}' (ar thc us^ o` watcr in attordavcc tcil'n thc ruL^c and regula:ions <br />of thc JSuLiltco �Vatcr District. <br />Durinr. thc timc tho: any o( tLc u�atcr mains map U^ takcn np Uy rcasan of <br />any improvcmcnt authorized by the llistrict in or ef any strcet, road or allcc in <br />which they ma}' haee becn laid, the District wift no: he required to iumish water <br />durinq tLc proerr.ss of surh improvcmen�to .5e}''�n:y;�cr u•hosc supplp may thus <br />bc cut o(f, or 'uc liahlo for any d:unxge i. ts Fei�u. sqld do. <br />1pp!.cauon '�o. f. .... .._./ _�_� � � ,;� I��' I <br />! <br />C' /^�F q <br />nm� ._y ��'-n Loc.. plif�IlTEO-WAiE€ M3� ,_.. _..� <br />' � � > . -� <br />no..........! ��..:.:._>'4 .. .......... . ...._.......... .. ......._ svc c>l r�/-i 1��:. � <br />/ .i�'/ ✓ <br />� / i <br />/i/ _! / <br />/! .-'.' �_ _ c . ......... .... <br />Statc suc o: tap: C'�'..__...._._.... inch. <br />a/r�; �' <br />S_. /,,.' ...�, .... _.. _. has 6=c�� rcccircd with this application. <br />. / <br />__... . .. . . . <br />... .._ . .. __. ....... <br />� �i' Superuttcndcnt. <br />i <br />Thc ptur,is� .�rc lu hc used �s a /. _t. ... ......... . .. ..... . ....._. __...... <br />Tisowncr oi d�c prcmiscs is ....................................._................__.........................__...._...__.......................... <br />Thc nc^nt is_..._. _.._.... ____......_... <br />This anplicatinn, alll�ouG1: sicnru, sLall�no: be binding upon thc District until <br />nrccptcd by the Sup_ mt�nr'cnt of thc 1rfu1:il[cn AA11 r��ynct � - / <br />� � � . � . 1 l /'. > <br />._. � <br />Sigmd F ��_. � t._.....-. u__...._I.. �,L .—,....Ou�ncr. <br />B}� ......................_....1__........._::� ..._.__..__......................_._._...._._............._.................._dgcnt. <br />,�«,.t,ua _ _ , �n _ _. nr _ _ _ ...... <br />Supennlendcnt. <br />
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