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9127 5TH PL W 2016-01-01 MF Import
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9127 5TH PL W 2016-01-01 MF Import
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Last modified
4/3/2017 11:14:35 AM
Creation date
4/3/2017 11:14:34 AM
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Address Document
Street Name
5TH PL W
Street Number
9127
Imported From Microfiche
Yes
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,,P-:.rcr,r;or: ,ao --- �#� [I_l __ accoui�T w3 y_�� _ <br /> MUKILTEO WATER DISTRICT <br /> SNOHOA415H COUNTY. WASHINGTON � � I <br /> APPLICA'f10N FOR WATER <br /> 1Aukilteo,VJashin7ton—_1-��, 19��. <br /> . TU ;HE SUPEAfIdTEIdDEtdT OF THE tdUKILTEC VlF.TEA DISTRIC'f: <br /> I he:ebr apply lo: ihe use ot woter in cccorriance v,ith the rule, and regulations o? <br /> tiie Mu1,i�leo Water District. <br /> During the lime that any oi the woter mains may bs laken up by reason of any im- <br /> provement autho:ized by the DisLict ir. o: of anq clreet, �oad o: alley in which Iheq may <br /> have beer. laid, Ihe LisL-icl will not be cequired to lurmsh watr. during the p:ooresc o! <br /> � sucn impmvemenlc io any consume: whose supply rray ihuc br cut of!, o: he heble io: <br /> anp dvmogc 1or itc failurc co to do. <br /> 7'he owner shall br Icible for any damages to the scrvice cunnerlion. <br /> raorra��� �rscwi7�on: F-�T � H o ll V �1 E Ff-A U W5 <br /> , ADDAE55: � � � (__ �� �-C •� <br /> --- — — <br /> State aize o:service_�y inch <br /> E a) S�� has been mceived w�.ih lhis appl'.c¢hr.r. <br /> Tne premisc;ore to be used as a� U IJ�- E X,______. /1 <br /> I'ne owne:o:tne premises ic C'-1 L�� /_'� �Y� � �i11 L [�� NC�\ {�_ <br /> Thc aqent is __ <br /> Tne fiislnc: recommcnds mstallution of a pre,sure regulating valve. <br /> Applicant acrno•.vleuaes in(o:mation o; to ihe recomme:�dation and . . . <br /> Agreec lo install c p:essure regula;inq volve <br /> Signc.__ _ ____ _ __ <br /> Dectines to install �rc� gul �in�vol� — — <br /> s��„a. � / -Ts�..-.--.� <br />� h is undcrstuod that all connectio ndudine me�ct and �� box st¢I�remain Ihe property of <br /> AtuA:llw N'alcr Uisvict. � � � <br /> i � G/ //� <br /> _-. . � . Si4ned�.� i�T�1(�i'.yC-OZ O•.ci�=' <br /> hadress �U I_7� rJ��__ _ __ <br /> A}'_��M0��5 / 0=)�O , Anen: <br /> ;8 � Acdress_ __ <br />
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