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�I � <br /> APPLICATION WQ '�__ IL G ___ ACCOUNT NO. y;� .� <br /> :�' <br /> � MlJKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTY, WqSHING70N �� � � <br /> �.J <br /> APPLICATION FOR WATER <br /> MukiNeo,Washingtor,�oZ.�_____ 19� <br /> TO THE SUPERIt]TEIr'D'cNT OF THc 1dUt:I!TEO WF,TEP. DISTRICT� • <br /> I hc:ebp apply ior tne uce o! wcter ir. accordonce v.•�iF. the :ules and regula�ions o( <br /> " lh� ldukillec Wo�er Disirict. <br /> During t?�e timc Ihat any of ihe w¢ter mainc mr.y be taY.en up by rcason ot anv im- <br /> provement author.:ed by the Disinct in o: o! any street, rcad or alley m wnich thcy may <br /> hove been laid, ihe Dis;rict will not 'te tequired 10 {umish watet du:ing tne progress ol <br /> �ucii imF�ovemeplc lo an}' consumer x�host supp!}' may �hus be eut ol!, or be :ioble io: <br /> any damage lo:it;loilure so to do. <br /> 7he owner shall 6e Iiablr fnr any damages to the service cnnnectinn. <br /> ��aorr:arv �isce�rrioN: u �= G FF��l I ����A DvWS <br /> l�DDRESS:__=Ll_L�j S� I�PX W, <br /> Statr o�ze o(service inch <br /> �-�S-tC�V_h�c neer received v.�itn �ni�epplicotion. <br /> The premices are to br. used ac c�(J <br /> �l.�er__— <br /> fhe owne-o:the picmise;i,_N���j�._j��(y��'� �,,J � , ��, ���, C�,� <br /> y' '=y4—L <br /> Tne aqen; is J <br /> �`PP�ranicacknowledae� iaiorma�lioa asLto Itheurecommen`dation Iand . <br /> hgrces to instoll c p:ecsure requlatino v�lve " � <br /> Signed_ <br /> Declinee to i tall c m�^ /e r�Sp�,ul �tin9 al�/�/7 <br /> S�gned(�---'vf��l��E':er�'��`-'`� --__ <br /> It is undercl!�ud Ihat all ennnecti mcludine meter and mmer box shall rcmain Ihe property of <br /> Tlukillco 11'alcr District. <br /> � Si�neci�(��-� � � �j��,f� . Owner <br /> !�odres�----L—_���J�� <br /> ,. E�,M�ti� �s _��o�� <br /> �����, <br /> g .,��«,,� <br />