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10315 21ST AVE W 2016-01-01 MF Import
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10315 21ST AVE W 2016-01-01 MF Import
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Last modified
4/7/2017 6:25:17 PM
Creation date
4/2/2017 4:15:12 PM
Metadata
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Template:
Address Document
Street Name
21ST AVE W
Street Number
10315
Imported From Microfiche
Yes
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/, <br />Tap No.-.�.�.7�--- -`-{......._........ <br />MUKILTEO WAi'ER DlSTRICT <br />��� {' �,StJOH01615H COUNTY, WASHINGTON <br />'� ` - 3 � <br />; r., �,, . L , �. <br />APPLf,EATION FOR �NATER <br />"n: ; <:.�_.., ,,. <br />i.:':...= c <br />All blanks must Uc fillcd in or crosred out <br />MuLiltco, �Fashinrton, ............. . �..... ��.....__ ..____, ]4.�:.._�'-- <br />TO TFIE SUP�SLI\TI:?�DE\T OF TIIE IvfUICILTEO �\'ATLR DIS'CRICT: <br />I hcrcby� appl�� for thr. usr oi x•atcr in accoruar¢c �vith tLr rulc: and r^culations <br />oC thc Dtukiltco l4atcr Uistrict. <br />Durin; th� timc thac anr o! ti�^_ u�aicr mains mac bc tai:cn up Up reacon of <br />anp imprm�ement auti�o:izcd ir: the llistrict in or o( nny street, road or alle}• in <br />whici� :h�y ma}' haec Leen la�d, ti�e District will nn; be required to iumish emter <br />durinr thc pmerrss ni s:�ch improecmcnts tu any consumer whosc supuly may thus <br />be eut oit, or Lc liablc for any damagc tor iu iailure so to do. <br />Applicauor Ko__. ....... .._... <br />�� .� , o� <br />lilocl: .__.... _... . Lot_.. '! . _...... __ ............. AddV2e.�-..�. r'.��_��.r�-'f.�. ' �J <br />No. ......__. � ��..�,�' Z�� hr �1E-.__�. ......... Strect ..__._ ....... . ....._.._....._._... <br />.- • . � �„ ^ �; � -. <br />I,r:,.L. ��J._[�. .. �l _'-: / _:.-N'' 1,�,� �. r/•� ry. �. j .. s_... <br />__... <br />.( <br />Statc s�ec o[ tap: /� ._... inch. <br />J-'= -`'� _ <br />S --� . ...._..has Lcca rcccivcd with this application. <br />J/. d.. _. . . , <br />r <br />� • / � , . � (._.�._..... .....__.. . . ............ ........ ..._ .. . . . _................... <br />�,!�.F,:..fl: j � Supaintcndcnt. <br />. ' � /'� � <br />Ti�c prcmises arc �n Ur, us^d as +..�.L�[.eya-eCI�� :,.�L� .:.. ............_........ <br />Thc o�rucr oi thc remiscs is..."�' ��"�'��� • <br />p..�,,..._.{�.......��;.... ........_ .................................._..._......__............ <br />Tltr aecnt is..._.___... <br />This appiication, althouch si�nru, ehall not Ue binding upon the Distrir.t until <br />ac��eptrci i�y the Superintentirn: nf the Tfukilieu 1Vater Disi:ict. <br />�r/7 Jf , �/�— <br />;�� SiSucd_.._....� .��"/.'..�_.�..u:_.Ll�✓.�L-�Y=3-......._............__........Oioncr. <br />Ac_��ptrd . .. . __. _.._...__._. , 1�._.. _.. lly .._..._ __..__. ......._...... <br />Superiutrndtnt. <br />
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