Laserfiche WebLink
,. �?I . U.LL' C�C:S�000 <br /> pPPLICAl'IOtd NO I �� -- ACCOUNT NO.__ <br /> r <br /> MUKILTEO WATER DISTRICT <br /> - SNOHOMISH COUNTY. WASHINGTON �� <br /> l/ <br /> , APPl.ICATION EOR WATER <br /> � , <br /> tdurilleo.Vlashin9ton �- �y: —.__, 19�'J <br /> TO THE SUP�RIP:TEI7DENT OF THE idUI:ILTcO VJF.Ti.'r. DISTRICT: <br /> 1 nereby apply Io: ine uce ol watr. in accomance w'ith the rules and :egulationc ol <br /> � ihc bldr.ilteo VJatc:D:strict. <br /> � Uuting liie time ihat any o: ihe wate: mains may be tal:en up by reason ol er.� in- <br /> ' pmvement aulho:i�ed b}• lhe Lisinct ir o: ol ar.)• slreet, roac o: a!Iey ir. v.•hich the}' may <br /> have been laid. the Di�tric! will not be requimd to iumi;h wate: du:ing the progress o: <br /> cueh inp:over.ieNc Ic any cons�mc 'n•hose cuPPl}' maq Ihus bc cu: of:. ¢ n: liai:i�, ic. <br /> any damayc for it,failute so lo do. <br /> Thc owncr shall bc Iiable for any damagc< to lhc scrvicc conncelion. <br /> PROPLItT1' DL'SCitIPTION: �^�'� �' -� �� i �� � <br /> �A��c-�+o ��J�c f�e ,r v <br /> —_ .J� <br /> � 1`L3�'^��t� <br /> ADDAESS�.�C��`'I I )(1Kt�:f- ���F`� _ �. <br /> State s�z�o!service 3j'} inch <br /> 5 �?l-U,OD ��as been received with ihis applicatior.. <br /> The premises arc to be usad as c ����J(= LE FA-1M' L�( F��� CG.1:'CL. <br /> ..;c ovnc:o�lne premises is_f-�=� �� � L'uNG�-L <br /> ':km a9en; i: <br /> � Tne Dic:::_: reco:�:aendc ir.st¢IlaLon of a pressu:e reguloting valve. <br /> AFplicanl acknowledges infotmalior. as to the recommendaDon and . . . <br /> harees to instcll c p:essare regulating valvc <br /> Siqned.— �� <br /> .��-•ciines to install c pressure reguiatir.g=al:e` �+ �j <br /> �� i <br /> Si�nea��,i'._. �J` -/ ' � :��r��� , —_. <br /> It is unders�ood that all connectiuns, including melet and meter bo� shall remain Uicprupert}'o( <br /> \f�kiltco H'atcr District. , � i <br /> //� � ��� <br /> Sinned,�"'i /.� ,•i� �y'�"�'��-.---. Ovrner <br /> �i �{c t `S ti��o � �'`` <br /> ` f"i k �„9 Address_7 � �'�L-' .�i� <br /> � 1 lJC'. D}._ ��TF! t � L �f uo i J � , Faent <br /> i�.., <br /> hddres; <br /> I'�itJ�ILT�O 1';.tiTu; .r',!i', <br /> T07AL MATERIALS COST �� � ��� <br /> r"OF OF'rICE USE ONLY: T� <br /> DFTc COMPLETED _ `L-_''__'3_ ��`�_�7= ADI <br /> POST TO ACCT NQ _._l�'� ''�`� '%-�� =�_ TOl <br /> 1 S4 `S�.c9 CU: <br /> ------`-- I 1�'--C— <br />