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APP�ICF.T.IOt: h1� .-__— �Ci, <br />- ______ hccovt;rn��_'�S=��E� <br /><.�---• --• <br />MUKlLTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />QPPLfCAT[ON FO�R WAFER ��� <br />Mukiheo. Vlc;hinglcn _._ ��__,� �'_. ic 6�s <br />T� ;i'•� �'�r-R'•t�;c17DE1vT OF THE 1dUl;ILTEO WqTEi4 DISTHICT� <br />I nereny app!y 10: the use o: wale: in accardancr. with tne rules and regulationo of <br />!ne Mukilteo Wo1e: District. <br />During ihe time that any ol the wo!c: mains may be taF:en up by reoson ol or.•; rn_ <br />provement outhorized by �he ilistrici in or o! any street, road o: alley in which fhcy�;�c�. <br />�i�'n nprovem nl}c�lu anye�consumer �riiorcu;upp�} rfu�r�iin r}krca�'u:m9 �th b�rliabl��. io� <br />any damag� lor its ioilure so to do. � <br />Thc owncr shall bc liablc for anr damagcs la Ihc scrvicc mnncction. <br />PROPBILTI' DLSCRI('I'ION: �C� � <br />- �G7� _ � � � �,f � �� <br />ADDRESS: �,� �'__���2 ��� � � _� <br />'_"�" <br />State size of servic� � -- ---� - <br />—=��-- inch <br />� �� �� hos been receivec wi/t/k7 this applicotion � <br />The premise, or� �o be used as a�//,i.•,��/'r. ."-r�if __ ./'� A �.. .. <br />7he owner o; the p:emises <br />?hc c�ent i;_ <br />The Di;trict reconrnnndc i��tallation o! a v� Js� � f�ZC <br />hpplicanl aeY.nox•ledne; in�o:mation as to rtheurecommendatior�'and . <br />Agrees to install c pre;;ure regula!ing valve .. <br />Signcd ___._ <br />_.---_'___ <br />—"— <br />__'_- _ <br />D_cfines to i.^.stall :��su�e re •I � � � � �—_ �-� � --�-- <br />i .ing val � /��/� �/ <br />Siqned i� !/��(��Y/____ _ <br />II is unucrstood O�a! al��cctions, includinc m. cr and mctcc bo� shall remain Ihc propcnl' u( <br />9fuLilten 15'atcr District. <br />�� /^"C 6 f.d' Sinne -� .�/��>`1'y�lj� <br />0�,� rc <br />h�':;Y . _ ';965 r,aar�s�����.tc� -7 �1.� �� c.c� <br />MUISILTED WkTER DIS'�''— �u �---E--��' ���G' y ---- <br />� -- r,�,�,� <br />'f ft:l',]I@:^ <br />�c <br />� <br />