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,� _ ACCOUNT I]C �.='Z�� �—� <br />I.PPLIC@TIOI< 170.__— "_ "_--"-- <br />MUKIL7E0 WATER DISTRiCT � �� <br />5!�OHOMISH COUNTY. WASHINGTON <br />APP��Ca.TtE�iN FOR 1El►�ttTER <br />; - � _ ,Q_� <br />2.:ukilteo.Washia7to.^._.—= ---� <br />Tr� TH� SUPcAI1�TE17DENT O� THE N.Uf:iLTEO V: hTER DI57RIC?: <br />1 i�ereb�; apP!; �o� ice uce ol mete: ir. accordnnae with the :ul�s anc regulatior.c ot <br />�}�c ?l.uiiltco Wate: Disl:ict. b:casoa of cr7 ��' <br />Luring fnc time ihat any oi tne wate: mains �'�y'cl, roadno: cllc;� m which they may <br />prceement autnorized �ny the Distri^t ir. ot ot any o ress oI <br />nc�:o been laid. Ihe Dictricl v.•ill not Se required i� m�1' hu be ct •o'tL oheba liable ioc <br />cuch in:pro:em^-r.L^ to cny ccr.^.umcr Wnosc supp r 1' <br />�r.�i dvma9c 10: its failu:e co ta do. <br />l'hc owncr shall lre 1ia61c (or an}• damagc, to the scrvicc cnnncction. <br />�nTI'd._ �4 �`i.,.��c� :JY�a.1-[n <br />PROPGRTI' UI:SCRIPTION: <br />hDDRESS. <br />�{ O 7- `{ C1TI� <br />-- �h/�( inch <br />S�ate sr.e o! sen^ce <br />4 3-I S c9 hcs beer. reeeived x�ith this applicatior.. � <br />/ K.h� ,Li� Ce. x_�'��i_� <br />The premisec are to be used as a - <br />� u "i . 1� _-�—_ <br />ine owne: o! tne p:emiser. ie � <br />���_��_c-�� 1. � <br />7hc ag^nt ic— U <br />The Distri=t recomm^nds i�staliailon o[ c p:essu:e rcgulatin4 `%a1«� <br />r.c: es i`o inslcll c p�esrure rea�il+ctl:�gtvalve ��� th:• recor..mendation cn3 . — <br />Y Sipned— — <br />Declines to ir.stcll r. r:=��:e:e.?'ilating �'�lve <br />Sic1n�.�e�"" �-` /Ti.k.; Yi'��i <br />It is undcrslood that a�� conncctions, indudinF ����=� �nd metct bo� shall rcmnin thc��r� of <br />Afukiltco C�atcr UisUic�. ���.n�ut..ait Kp!. ,L..,.3 <br />��� vwner <br />(� /l ( a ��5e �—.-�--' <br />C` �"e 6 �.t� � Sig�,.�� �m ,-� 1� ��_l�l�.5-�—�� <br />J�ddress_ �-3' �—�1`1�� � <br />� ;r,., 3 _ A9en! <br />�...... . .,,_ . F�, '-� n C. <br />��ni��.ILI[l� �';'�.!L� <br />