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iTap No..�.I.�.�.//`�� <br /> l�I�fTIiILT�O ��'AT�P� DISTRICT <br /> ��'� SNOFIO.IISPI COUNPI', \V:ISHINC?Jti �� <br /> I � � <br /> � � <br /> PA_1'PL�ICATION FOIZ ��VATFR <br /> , - <br /> � �� ���� � K\�y�}2nl:s nmst be iilled in or crossed aut <br /> i p Y1H�E <br /> N�U1l\bj� Aivkilteo, �i'ashington, _................_......._...._....................., 1'.l.f_...... <br /> � 'f0 1'III•; SGDII:IN'I'L:NDCNT OR TiIP n1UIi.ILTEO �i'ATER DISTPIC7': <br /> I � ������.}��� ;y�p1y for the use of �cate^ in accurd�mce tcith the rules und re�•�- <br /> IaLions of th�, M11uLilLeo R'atcr UistricL. <br /> llurin{; thc timc lhut :enY of Uic u'atcr mains mac Lc :a;:en up iiy rcasun <br /> � of any improvrnnents authorizod L}' LLc l�i,trict in or of :mp strce:, ro:�d or <br /> �illeg �n v:hich thcy� ms}' havu been laid, tiic DistricL :cill nei. Le requircd tn <br /> furnish «•:rier durinF the pr��,�ress ot such im�ma�•ements to unp consumer �chas�' <br /> I supply m:tt� thvs be cu[ ofi, or 6c 1ia61c for zny damaEc far its Cnihn'c so tn dn. <br /> :lpplicntiam Na....................................._........_ . <br /> IBlnck......................................_ Lnt.........._".�..............._.... :1dd.���_.�..��.... <br /> n > � <br /> �� <br /> No.................._�.....�..........._...._....................................._..._..Sireet ._.. ....._....... .._._. <br /> �I ._....._.....L��.��'`��1^-.C._....���::�� �._.......__ <br /> r o saq-- 13�' �-J� � �.�..�-,,�.C-��,� _.._ . <br /> ^ ._....... . <br /> _.. _._ ._. ............... ......�. <br /> =, !, `'.`'-',( <br /> � SL•itc sir.c�t�p: ...._.�._ ��. indi. " <br /> I <br /> �...... <br /> I5..........��.. ...................has Lcen received with this ap�dir.ition. <br /> � .........--�.............................__............_............ <br /> ............... � <br /> . Superintendanl. <br /> . 1'hc premises ure tu Le used us u_.............................._..........................._.........__.. <br /> Thc o«�ner uf the premises is............................_...................... ......_.................__. <br /> Thcn„ent is....................._.................................................._.............._.._.................._.. <br /> This applicuLion, 'iltl�ouFh signed, shull not be Uiuding upon the District <br /> wriil uccc�itetl L�' the Superintmident oL thc Jiul:iltcu \V:t[erDistrict. <br /> Si�ned..........................._..._..._..................._..... ..._._.................Aeur+er. <br /> Bp................................................._........._......_..................A qei�C. I <br /> Accepted................_................_................11lq........ 13g..........._._................._............._.._.... I <br /> Stiporintcr�dent <br />