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9103 5TH PL W 2016-01-01 MF Import
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9103 5TH PL W 2016-01-01 MF Import
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Last modified
4/3/2017 11:14:09 AM
Creation date
4/3/2017 11:14:09 AM
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Address Document
Street Name
5TH PL W
Street Number
9103
Imported From Microfiche
Yes
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; � > <br /> APPLICATlON NO.__ ���______ ACCOUPIT tJO. 7` �`_ <br /> MUKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTY. WASHINGTON — � <br /> 1 J '� <br /> APPlICATION FOR WATER � <br /> � MueiNec,Washington_��- . 19� <br /> , TO THE SUPERIN'fENDEDIT :7F THE tdUf:ILTEO VihTEP. DISTRICT: <br /> 1 hereby apply fo: the use o: waler in accordance v:iti�, the rules aad regulations ol <br /> ihc tdukihno VJ¢ter Districl. <br /> During lhe lime that aay o; Ihe wofer mains may be token up by reason o; any im- <br /> nrovement autnu:ized �y the Distr,ct in ot o: any ,treet, roac or alle7 in ahich ihey may <br /> have bcen laid, iLe Dist:ict v.•ill no� ac required tu furni;h viater durir.a the progress o! <br /> sucfl Im�.:u�'Cme�;i_ lo anp cUnJunier Wt�oSe supply Inay tiNs 6H Cui ell, o: �e licbic iof <br /> any damagc tc:it;Iailure so fo do. <br /> 'I'he oH�net shall be Iiable for any damages to the scrvice cannection. <br /> PROPERT7' DCSCRII'TION: �O 1 � � �� I �/ I!IE.(��OG� <br /> ADDRESS:—LLb� . ��� — <br /> State stzc o(service��_inch <br /> : �7`��60 hac been rec;:ived with inis applicaticr. <br /> The premises ar�to be used as a_I„J���.��_--Q— <br /> fhe oe�ner oi the premises ir._.NL'.,_[.L_�S� LE A'1 �N j,u�i `=l_ <br /> The agent is <br /> Tne Disirict remmmends :nctallat�on o! a pres.ure :egulaling valve. <br /> Applicant ac'r.now�ledge; inlormation as to ihe recor..menda�ion and . . . <br />, Aarees lo insicil c pressure re�ulating valve <br />. Signed _ ._ <br /> Deelinec to install c e�:�u �r �ul❑ al�v ///f� <br /> 5�9ned�,"'�� � li��Zae'�—r� _.__— — <br /> It is unJcrstoad lhat all rnnncctions, including mcicr andsictcr bu� shall romain thc prnpc�q�af <br /> � AluAiltco 1Valcr Uistrict. � � <br /> P A i D Signed��;,���i��—+'+'«n_, Gv��e: <br /> [t' Addrese / ��_ � (O <br /> Slr 3 0 19E0 B}• E�L'_DN1�S _ � g��—� A9ent <br /> p�1;:1,TED WFTER DIST. ha�«�;_________ ____ _ <br />
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