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i � � � <br /> APP/LIC�ATIOtd NO.__ 1 1 J. _ ACCOU�T 170. �O— 7 L <br /> / <br /> " MUKILTEO WATER DISTRICT 1 <br /> SNOHOMISFI COUNTY. WASHINGTON �� ��I <br /> � <br /> liPPLtCAT10N fOR WATER� , <br /> 1dulilteo,Weshington—���1 ,19� <br /> TO THE SUPEAItdTE1dDENT OF THE idU}:ILTEO WATER DISTRICT: <br /> � i hereby opply (o: the use o! water in accordance with lhe mles and :egulatior.s o'. <br /> the Mukiltec Wale: Distnct. <br /> � During the time that an}' o� the walc: maina may be takea up �p reasor. e! ¢ny im- <br /> proveaent aulharized by ine G:etac; ir. or o! any s(reet, road or ❑Ilcy in which ihey ma;: <br /> have brer. laid, the Di;t:ic; wi11 no� be reqvired to furni;h waler du:ing �ne nroy:esc oi <br /> � such m,Provements to an7 cor.numer whose supply may thus bo cu; 01!, o: b� iiablc lar <br /> any dama9c for iL•lailure so to do. ' <br /> � 'fhc ownet shall bc liablc for any damaga to thc scrvicc ronncc[iun. <br /> ricorr:�s•rv uescicirrwr.: �-.o i 5�l- o��y N'�GA Daw� <br /> ADDHESS: 1 I �J O � ��1. �Q.._w_. <br /> Slale�ue of service 3(� inch <br /> ��-1����� has beer.received wit}i tnis epplicotion. � <br /> The p:emises arc to be used as a��J P�...�E.1� _ <br /> fhc owne:o!lne prer.iises is�E;_� I� .�2�LF- M �� �'4L'�.D iT�l <br /> Thc aqent is_ __.__ <br /> The Distnct recomnead; i.^.c1v11aLon oi a prescure ro�ulating velve. <br /> Applicant acknox�ledges inlormation as lo the recommendotion end . . . <br /> harees to in.-.tcll¢pressurc regulating valv�a <br /> Signed _ — <br /> Dedines t install�Fres i g• atin +al•./://// <br /> Sic7netl\---7I�LS=�� G�—/Cr`ly.�-� .. _ <br /> It is understood that all wnncctians, inciudinF tneicr a ieter boa ;hall remain the proper�y of <br /> pluLiltco �FJICf QISIfICI. � <br /> �6 JI/�!/ /'�. �(/���� � <br /> - Siqned__ .i�K��C�r—��'���—, Ov.•��: <br /> aP. } D <br /> nddress PC��%C ��Z�_ <br /> ' .- �.' i: 'It'�r��. <br /> . • 5y. El�i�'1UFJ_QS_ Q80.�.,f7 , h9en: <br /> ,.3�� - ql:,;: `�'... Addresc_._—__—_. — — <br /> u:::.;. �_. <br />