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I ' <br /> APPLICA:i6AI WO. I ���-- ACCOUNT NO._�7�� _ <br /> ./ <br /> MUKILTEO WATER DISTRICT <br /> � SNOHOMISH COUNTY, WqSHING70N —'l �\ _. <br /> ! '� � <br /> APPLICATION FOR WATER � <br /> � MuY.il�eo.Washingtor.__1� �� . 19� <br /> i0 Ti!E �UPERItJTE1dDERT OF THE IdU}:fLTEO VJATER DISTRICT: <br /> ' I ner�by applp lor �he use o! wate: in occordance v:ith tne rules and tegulations o! <br /> ihe ldukilieo Watet Dislricl. <br /> During thc time ihat any oi ihe water moin� m¢y bc taeer. up by rea;on o� cny i:n- <br /> provement authorized 'ny the L':atn�t in o: o! any ,treet, rocd or alley ir. which tney may <br /> have �een IQid. �he District will ao; be requi:ed to :umich wate: during the p-o�re;c o! <br /> cu^ii �.::iprovemenL• to any consume: whose supply may thuc bc cut ctl, or be liaSle ior <br /> ❑ny damaye lo:il;lailure so to do. <br /> - Thc owncr shall bc tiablc fm any damagcs to thc scrvice conncction. . <br /> rrcoreiiTv ur:sc�su�rioN: I��i I N bl l�l r��EA nUt�J� <br /> ADDAESS: __ `L v?J I � lIL 1_ /r � -- <br /> JC <br /> Stote^,ize o(se:vice__�_���;� <br /> E�1 Con <br /> �L—ha;been re:civec wilh ihis app!ication. <br /> Tn^premisca arc to be usec¢s a ��.���.E�_ <br /> —�� <br /> I'he owner o!tne premises ic_��(_��j���'1/� N �J(1 �� i j�f�' C�7 <br /> Tne ogent i� <br /> The District r�commends installa��on ol o prmsure reguleting valve. <br /> Applicn.^.1 acknox9ed9ec inlo;ma;io^ as to it�e :ecommendation and . <br /> Agrees to install c pressure regulating vnlve � � <br /> Siq�ed <br /> De:lines t 'install c a rec: , rqgule � valv / --- <br /> Signe � � <br /> C.C��� <br /> It is understond tlia? all coMcctie � inrludin� mcter and mc[cr box shall rcmain tlm propen}•o( <br /> MuAiltro 1l'alcr llistrict. Q <br /> P A � D ���9ned__ /y/J^�r��-��•/�—`^�-�S�ei—. Owne: <br /> i�ddress / � ��X�� _ <br /> SE� 3u �9�0 n <br /> 5:; E�rnU1J ]5,___�J,.7J�"1 .�C7i!_Q . A ent <br /> 9 <br /> S".i�:l_?=D WAT[R DIST� i�dd:e,�_--- - <br />