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� <br /> c� � <br /> APPLIChTl01: iJO._ ____--� ________ ACCCUIQT NO.==__'__ <br /> /` <br /> MUKILTEO WATER DISTRI�T - � <br /> SNOHOMISH COUNTY. WASHINGTON � Z � <br /> u <br /> AP'PLECATION FOR M!'�lTER i <br /> �'— tc� 4o j <br /> 1,1ukilteo,VJcshington—_—� , 19— <br /> TO THE SUPEAIlSTEIr'D�NT OF THE MIIf:ILTEO \9hTEP, DISTRICT: <br /> 1 hereby apply tor the use o: water in accordance v�i�h fhe rules and regulations of <br /> the Mukilteo WQIer District. <br /> During the time lhat any of ihe watc: moins may bc taker. up by reo,on of any im- <br /> provement aufno!ized ap the Gistict i.^. or of r,it}' stree�, roac or alley in which they may <br /> have been laid, Ihe Distrir: will not be required to fumi;h water durin;r thr� ^ =n oi <br /> euch improeemcntc to any .onsumer whose supply may tkms be cul c:i. . .. .. .... . .. <br /> any damoge io:it;lailurc;o to do. <br /> "fhe owner sha11 be 1ia61c for any damages to tLe servi e connectian. <br /> PROPGIL'I'1' DI:SCRII'7'ION: �C�T � (� �A-�-�y���.L�� 'I__ <br /> ADDRESS: G � I �S - I U��1 Q . � <br /> Slale size o:servic�j inen <br /> SJL�.7�has been received wifn ihis applicotior.. , <br /> i <br /> Thc premisec are to be used as a ��,, p,, �-+�-�� <br /> 1 � -Yi'r-- -_I—_. _____ .- ____ <br /> _ \ <br /> 1'he owner o(the P�emises is _ iF-L�1\�tl'.9 ___ __ _ _. __ <br /> The aqent is _ <br /> ' The Disinct recommends inst-Jllation o( c pressure maulating vulve. <br /> APPlicant aclmowlbdges inlgr 6pn ps lo lhe recofcrosnh�tion an:i <br /> Agree,to instqJ#-c pr p <br /> � �ure c u �l�.) r- ^ <br /> , g <br /> Signed L��' <br /> �� -_ �G�_ t L��, --L-� - -- <br /> Declines lo iactall c pressure regulating�:al;e . . � _- ����-� --� <br /> Si9ned'__ _ <br /> It is undcrstond that all conncctions, includinc mcict and mcicr Uu� shall remaiu tLc prupertr ul' <br /> 6lukillcu N'atcr Uistrict. � /� ` �� <br /> P /4 ( � Siqned��""-�-��TiY'�'1(,'I L� L , Ov:r,,•r <br /> SE� 15 198U r,a�t�:� ��� �,._ P�t-c,-�r�w�1�.t__ <br /> B}� �i 5 3�- �)^ Y p . Agen�. <br /> i�UKILT�O WATEP, DlST. --- - - -- - <br /> � .,.__ <br />