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r".?P�ICF.TI:�hi IJQ �.___ _�_ �� _---. --____ (�Ci.OUkT 1J0.��..' � o `•> 7 – L <br />t�fUKILTEO \NATER DISTRICT � ;�j <br />SNOHOMISH COUNTY. WASHINGTO.V <br />, a,PPLI�Aig�N FO�R �:1lQ�iER I <br />� <br />1du[iileo, Wcshington FF r�_ , jo_�� � <br />TO Ti?E GU?�AIKT£PIDEIdT OF THE 1✓.UY.IL':PO WF.TER DISTRICTt <br />I neren� appl� ior lhe use e! v:�ter ir. ccwrdance �rith t'ne rules and reyulation, o: <br />Ihe MuY.il�eo V�ote: Disirict. <br />Durir.g !he time lhat any of the wate: mainc may be tcxen uG 5Y rcason o; �ny in- <br />provement authorized by the Dist:ict ir, or o± any �treet, :oad or allcy in which ihey may <br />nave been laid, the Dist:id will not be requirec lo iu:nich waler durir,g the pro9res- oi <br />such improvenents to any consumor �uha;e snpply moy ihu:; uc cu; o!!, o: lie linbl•- io: <br />❑ny dcma9e lor its ioilure so �o do. <br />The o�aner shall bc liable for any dnmaec; to tlie scrvir^. �onnection. <br />PILOPfRT1'D:.SCRII'TIOT: ��'r Ih �c���.i.c.nv CS7q'i�rs <br />/,DDaESS: C� G I G� � 'rl k I� ,� <br />Sicte size ot sen•ic� ��y ino'r. <br />o� <br />5.—C�-� � ha� beer, receivec witn in:s applic¢tior.. <br />The pren:ises nre to be used as a ���J L L E FA 1'✓� � L�/ �2-ES i i7F1��c.F _ <br />I'he owne: o! the premises is �r 1_V f w �u I�i_ __ <br />The aqent ic'� _„ _____ <br />The Lishict recommends ir.staliciion ol c pressure regulaling valve. <br />hppli:cnt acY.r.ewiedges inbrmation as to the ;ecomm^ndation en� .. <br />Acrees to ins�cl! c pressure regul�:ir.g ralve <br />Siane� _ <br />Dedines to inc�all c precsure:cgulatino •:ctvc <br />Si,^.ned <br />It is undcrstood that ail conncctions, includinr mctcr and mcicr box shall rcmain thc proper!}� oi <br />\IuLiltcu \'iatcr Diztrict. <br />q •�:...-�' � /l <br />Signed y!V,]Mn �.�/1�'»�.,�-.C"` , Ov: r.=: <br />� � <br />Adrires^ o`!-;d.� �-,i.���l i71�/al� '��— <br />r-Ea 1 s ��s� B,. <br />�u<<��:�r:o i,�ni�� <br />F.gent <br />