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RPPLICATION NO __ � �& - --- --- ACCOUNT NO. 2"'=��/ � _ <br /> / <br /> MUKILTEO WATER L�ISTRICT <br /> SNOHOMISH COUNTY. WhSHINGTON � Z_�� <br /> l�PPLSCt�360M E06t VIfATER <br /> 2dutilteo.Vlashington ��_� � 3 � , 19 5L� <br /> TO THE SUPEAINTEIdDEtd7 OF THE MUt:ILTEO WhTER DISTRICT: <br /> I hereby appl� io: the use ol water ir. accordnnco v:ith the rules and regula;ic��.r. a: <br /> lhe Mu'r.ilteo Water Gistrict. <br /> Du:ing thc tinie that any ot the water mainc mcy be taY.en up by rea=or. 01 an7 ir.�- <br /> provement authorized by ihe Dmtrict in o: ol any street, road or alley in which they ma;� <br /> have becr. I�id. Ihe Dir;rict will not bc mquired to lumich water during the pror:c�c o: <br /> such improvements tc an}' co::sumer whose �upply rmy thuc be cut dt, u: �c lic:;4%� ior <br /> any damagc lor its tailure so to do. <br /> The owner shall be:iable fot an)' damages to the uryice cunncction. <br /> / <br /> ricor[:iiT� u�:sciairr�on: �oT lS %Jc�.����u.c . <br /> /,DDAE55: � �� D �D �P-P� «� <br /> State sae of service 3�`�� inch <br /> $_ a�J,nCi _has becr.received with ihis application. <br /> Thc premises are l0 6e u.ed as c����±n��t� __- __ __ <br /> P n � J �_— <br /> Phe ov:ner o:thc Premises ic ���__�`{�!J �2_ _—___-___- _...- <br /> 9'hc aaent is <br /> Thr, Distr�ct mmmmends m;tallat�cn ol a p:ecsure regulcling vah:c. <br /> i�pplican� acknowledges intormation ac tc the recommenriation anti . <br /> Agrees to install a pressure regulatinq vah•e <br /> Sianed-- _ _ —_ - <br /> Dcdinec t�o ir.s���a'll a p:eccure regulalip/g�v�alve <br /> Sia�na �✓�!.G.J 1�.�i�{_LL=LJ-1,L��— — <br /> It is undcrstooJ Ihat aIl cnnnections, includinc metcr and meicr bor ahall remain lhc proper�y o( <br /> �tuAiltcn Walcr Uistrict. <br /> Sfaned_ , Ov:ner <br /> PAfD (� ^ <br /> hddres� �,'�.� Jy_r�YRi��(,Ur�,�_ <br /> (� 7 :,7 ���/� c / �� � <br /> l�r I 1 v iQS)(� ...' r7JC.'L�� Vi �,_'�-1''�-C_C��lci _---"—. Ann.�� <br /> "'�:i:Tcu !7,',TEP, �ISi. :._s.-�-::.: _ _ _ _ - - — <br />