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Tap No.... L ...... <br />X UKILTE0 WATER DISTRICT <br />SNOHOMISIi COUNTY, WASHIIIOTON b <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />• ......./ c� O/ 1�J'4..50 <br />Mukilteo, Washington, ..._:��•............... <br />TO THE SUPERINTENDENT OF THE T61 LTEO WATER DISTRICT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Mukilteo Water District. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by th4 District in or of any street, road or <br />alley in which they may have been laid, the District will not be required to <br />furnish hose <br />supply mayer thus be cut othe ff, oar be liableess of cfor any damage forrovements to itsfailure so consumer to do. <br />PP Y Y <br />Application No ................................................. <br />Block........... ..................... ......... Lot ........... ..7.._---- .------- .---- Adt�t�i�'.:C"-'!/ <br />No....._...._...........................................p......._........................... Street ............................ <br />�Z Y /'/G✓ c w .c(t�Y:........... ............. 0{� i.a......_�.%. Z6� •%� <br />/ e-h A `e...Q.................................................... <br />VA <br />State size of tap: <br />been received with this application. <br />V 6 _ .... <br />'------ _......._...................._.....................................nt.._. <br />Superintendent. <br />The premises are to be used as a ........ .........._......_..... <br />.LC�'................. <br />The owner of the premises ie... �`-'�--�� ••••-•--•••••••••-••-- /-�•—• <br />i <br />The agent is .................................. .......... <br />This application, although signed, shall not be binding upon the District <br />until accepted by the Superintendent of the Mukilteo WaterDistrict. <br />Signed...... l.:.....Owucr. <br />B•. / _ _ ....A9mit. <br />Accepted.................................................... 194........ By.......................Suparintandent <br />