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10302 21ST AVE W 2016-01-01 MF Import
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10302 21ST AVE W 2016-01-01 MF Import
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Last modified
4/7/2017 6:17:58 PM
Creation date
4/2/2017 4:14:56 PM
Metadata
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Template:
Address Document
Street Name
21ST AVE W
Street Number
10302
Imported From Microfiche
Yes
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„•7_?• i <br />Tap No...^!,::.._ �t..._:...---...... <br />IJ�UKtLTEO l�JATER DISTRICT <br />SI:ONO���:SH COUNTY, V:ASHIIJGiOIJ <br />� � <br />APPLICATION FOR �N?.TER <br />All Ulanl:s must Uc fillcd in or aosscd out <br />� � <br />'� - %- ...._._.., 19 �....— <br />\iu}.ilteq \1'ashington, -.. <br />TO TIIG SCI'EI:I\I'E1"DZ\T OI' TFIH TiUI.ILTF.O \�4TEIt DISTRICT: <br />I hercuy applc fur thc usc of watcr in accordancc with thc rulcs and re_e,ulations <br />oi the \fuLilieo 1\'�Icr District. <br />During ti�c timc ti�:�t :�r��' o( thc watcr mains ma}• bc taken up bp rczson of <br />am� improecmcnt auti�o:izcd 6c thc District in or of an}' svice:, road or ��llcy in <br />�c}�icL they rnay na��e been L�id, the D'uvict �eill not hr rmuimd io furnish �vater <br />durinc tirc procress of �uch imprm�cmcntz w �ny consumcr whosc supply may thus <br />hc cut of�, or Uc liabic Io: ane damagc (or its failwc so lo do. <br />Application ��. . . .-.. .i <br />� .� , � . s <br />]S1orL ....._.... .._..._... Loc . ._. <br />.. _ ._ __... Add.%�F!tir.. �..... / ._��%., <br />Ka. ../ i :,`3...0 ^ .`... v-7':,/ ...! ..._..W �' .: / ........_......... Strr.eL___..._ <br />�_. . .�.- <br />. _ _ ..............__..__._,.. <br />r.' �”, �.. .� _ _ . <br />..__:: ::... � ... <br />....._...... ..__....._..... ___... .__._.. ...__. <br />Sntc iec of tap: ._ /Y_..... inch. <br />r-�' <br />S./.(.�.._. ... . i�as bcen receiceu with il�is application. <br />..... ........_........�-_..'......... <br />___ _ __ <br />...__.__..__....... <br />..._._........__..._ .Superinlcndtnt. <br />/' � -__.._._.. .._._....... <br />i _ <br />'fiin yrenvs^� :rcc io bc u�••d as a �� __.,' .sS-�--<.-e--L- <br />i .-, f/ ��� <br />- =•,/,7_c-��i-�.-, -!'.__e...���-..-c+e�" .............. <br />Ter uu�n:: ol tlic prcm�sc.'� . <br />TLc agcn: is _. .._.. _ ... .....__. . <br />_...._. _ ............._ <br />_ ...... _.... <br />This :�pplie <br />:�cccptcd b>' tLc <br />:ilthoucL sicncd, shall not Ue hi <br />intendcnT� o( thc \tuLilteo \\'ater <br />, <br />� �, . <br />. n �i <br />v,d.�._...�i.:i..:..:���'�.%......C........_ <br />upon the District nntil <br />�lgtnt. <br />.. _............ _.... _...... <br />:lcccp:rd..__. _ . _.. . ......._, 19 ....._. 7' _.__... Superintendcn:. <br />
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