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,__,. �, _ , <br /> , . <br /> °f- Tap No....!�:'........:..�.�:��... <br /> ]�£ TRILTFO ��'�T�R �ISTRICT � <br /> ;`�, \ S�:OHONISFi COU\Tl, R"ASHINGTON ,�SZ, <br /> ,_ b <br /> 0�'t• <br /> AY�d��`.�'�CATION FOR �VATER <br /> , �1ll hlani:s must Lc filled in or crusscd out � <br /> \hikilteo. R"ushinRlon. ....................................................._.. id9........ <br /> TO Tllti SCI'liP,InTP.nI�PA'T OF THE .IIGI;ILTEO �Pe1T�R D1STP.IOT: <br /> I herrh�' :,pplc Cur th�, use of �vater in :recordance with the rules und regu- <br /> lat;on; of the AIuCitren �"ssier Uist!�ic:. <br /> lluriu�; Lha time thnl anc of thc o:aur mcins n:ay Le taken up L; r;;ason � <br /> of :mp miprover.ient_c w�thnri.^.ed 6c thc District. in m� of anp screec, road m� <br /> :;Ilrc in u�hich thec ma�� Lave been laid, thc I�;istrict �cill uct Le required to <br /> furnisii �ruter dcrin�. thc progress of such improerme�ts to unp eonsumer whosc <br /> �upplp may thus Le cut off, o- bc liahle fnr any d:m:uCe for its fuilure sn !o do. <br /> dPpiicatiwt No..........._..__.............._......_..... <br /> -• � <br /> P.loct:........._...__..__.._......._._ Lot..._.�_�....... ............ Addw..........:�._�"...._... <br /> _Ca._...._..l..J.�.�.'..��..��.�..r�.✓L�.............._....................Strecc .....___.._.... ...._.. <br /> �c-�'us,�!�........v-�.....-�-�1'�-r-^y............ <br /> V <br /> _......................_._. .._...._....... ....... .. .. .............__..... ......_. __............ <br /> Statc sisc of tup: .......��y.........inch. m � ' �Y ��`✓ <br /> V �^�-'� y _",-._ <br /> S_..........._...._. ._......_.__.ims 6cen n.cui��cd trith thia ::pplicution. <br /> .............._..............;....._:...._................. ................._........ <br /> .-';::� : - ./$nvc. iutcndritt. <br /> .-;'��t ,; � ' � - ;- � <br /> — � ... � ,:- , . <br /> 1'he premises �irv �o l�c used is a................. �................... ...................................... <br /> 1'hc o�cncr of tLc premisc; ia.................................................... ..........._............... . <br /> Thcahent i��......._...__..................................._............................................................... <br /> TLi; upplication, �ilthou�h si�nmd, shull no: be bindin� upon the llistrict <br /> until aecepted Ly the Supi�riutenticut of the ?lulciken 1V:aterDistrict. <br /> Sicnud............................................................._......._....._.._.........O�n>�cr. <br /> B}'........................._..................................................._....._.d gr,u t. <br /> .aeccptcd...............______.__...................19.L....... By......_......._.._..................................... <br /> Si�per•itttm�dcut <br /> f <br />