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l:. l � � <br />AP�i.t�.rIIOtZ tJO.-----ii—�� �----- .'v^"OUItT 1.0. a=1_1P� {r,__ _ �. <br />Iv1UKfLTEO WATER DISTRICT '� <br />SNOHOMISH COUNTY. WASHINGTON �� �c'y <br />.) . <br />I f.�,PPL�C�RTfE'3l�E FE�R WAfER <br />if,�'cE�leo. VJashin4ton 3 �� .___. ic�J__ <br />TU THE SUPEFi!13T'c1dD�61T OF 1'HE MUriILTEO V.'ATER DISTRICT: <br />I here6y apUIS' !o; th> use o! v:ate: in acco:dance rith the rules and reyulatior.� o, <br />ihe 1.futiilleo Water District. . <br />During �he time that any o1 ihe water mains :nay 6c taken up by rec;on ol cn�: im- <br />provemen; authorized by ine I'ii;Lmt ir, or o7 an}• �Iree�, rood o: o11=y ir. whicn ihr-g :n�y <br />have been laid, tnc DisL-ict will nct be requircd to turnish w¢ter dur.n� tiie pro;;c-- o` <br />�uch imp:overner.L lo an}• cc^ru:;�er v:hre cuppl}' rna}' Ihu: be cu( �_.., or �r i��::ci�; ic� <br />any damoge for i'c Ioiivre so L do <br />'I'he owner sl�all bc liable for any damapes �o the service connection. <br />/1 <br />PROI'81LT1' UC'.SCRIPTION: �V � � 1 cJGLi h. .��n � <br />ADDRESS: <br />aOt9 �l`�1�� <br />State size o! sereice j/ � inch �--.� ..�—.. _. <br />5 �-I �Ln <br />has neen receivec v: i(n tnic applicatior.. . <br />The Premi;es aro ic co c;ed as a /��4�'• __. C.n..tc Y /y<C1,�( M.C.,_ <br />� —__ <br />The owne: ci the pre,mises is ,l_���-f,L. ' . '�t-�iJ _ _ ____ __ .__ _ <br />Tne aqent <br />The Distnc: re:ro:n-ends i.^.stvlla9ca oi a pres;urc regulaLnq v¢Ive, <br />Applicant acknowleoaes iaicr.nation cs to the recor.,m^ndatior. anti . <br />Aarees �o irstall a pressu:� regulating valve <br />ks„�,.... <br />n„c, <br />II is m��erztood that aIl ennnections, in:ludine meiet and meter boz shall remain ihe propu:e}� uf <br />�tuAillco \Yatcr DisVict. <br />�� �<< [ i� <br />1 (' i;'.: �. <br />�-� ;r���C ;',�,--� _. <br />„'.�'��:. <br />Sign�--��1'1L'�tll/�1 %/.�•�,h�w+ic.,. Fi'� S�L-�y <br />Y ` -T: � € !�"^ H",? <br />Hdcress � ,� I „}�I�i`� 'ryy. <br />- A`' - 7�"-�u � C � <br />_ h�� ,: <br />.. <br />nac:.•35 __ — --__ _ _ <br />