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� -� �:� <br /> TapNo.......^-....................... <br /> :��IUKILTEO ��T gTER DISTRICT <br /> SNOFIOni1SH COlinTl, R'ASHINGTOA` <br /> a�o <br /> APPLICATION FOR WATER <br /> � All blanl:; must 6e filled in or crossed out <br /> �. � 3lvkiltco, R'ushin6�ton, -'..............._�:5�<{:�o.......�✓...., 1'YT.�.. <br /> '1'0 THi: S1JPI:RIN'fI?N��P'.NT OP 'fIiL ililiIiILTEO R'.1TER DISTFi1CT: <br /> �� I hereby aPP1}' for the nso ot ����der in uccordance with Lhe rules and re;�u- <br /> latim�s o( tho nl�i}:ilteo Nater District. <br /> . Uurin�; thc time thet �n�� ot thc u�ntcr meins m;i}• Lr, tcl:on up Ly rcason <br /> . of :my improve�nents authorized by' the DisCrict in nr oC an)' street, road or <br /> allcy in aluch thc}' may hace Ucen laid, tltc Dis.rict n•ill no6 be reyuired tn <br /> iurnish �vutcr during thc proFress o: such imprnvc�icnts t.o any conaumcr �ehnsr <br /> . suppl� mae thus he cut of:, or he IixUlr for any damage inr its failure so to do. <br /> . :lpplication No.............._.........._.................... <br /> Z . ' '� <br /> J' .. . -L <br /> ' Bluck......................................_ Lot......._._`.�.�..............._. _1dd...L;..�i.._.'F....:..��i.i<L:;'�� <br /> � . <br /> 1 /, _, <br /> . ...._..........._....Strect .._............... ........ <br /> :�lr.............1............_.............................................. <br /> L.Q.(r�l Y..."...13'�=�....f�.J..�C...._�..................... .............................. <br /> ............................................................................................................................. <br /> � : <br /> _ , <br /> Stutc size of tup: .......::..:,:......_.inch. <br /> $.....(,.'.�.1.�!.�'.................has Lecu re::eived witit this npplicution. <br /> i/ <br /> ��i�/� /_.......:..............a..U-..._............................._............... <br /> •' / Supe>'trttcndcut. <br /> �M��� ` � , . ,�:.; :� a <br />, he p�en ises urr tn he used as .�......__............................. .��......................."----' <br /> � <br /> The owner of tlre Premises is........_....................._...........----... ............................... <br /> �''�'-;' ' <br /> , . .. _. .. . .- . . <br /> , J �i•.J;', ra �..;:_r,i'. . �i '. . .. � <br /> 21ic�Y(Y"'t5f................ ........_......................:.:...=...:.:.:...................._........_............... <br /> This apP��<<<<�on, ulthou�h signed, sL:ill not Le Uinding upon the District <br /> until accepLed by the Superintendent of the biu]<ilteo �i'atcrDistrict. <br /> - .�.,ri nr q n-� :ni .. � ..-- .... .. ... <br /> .:"iJvn :. .,r,01J� _IiTu,; , <br /> - . . :� .,..:.�.Otoncr. <br /> Sii:ned..._._ ....:.".............�i........_:............................:............ <br /> i' . / <br /> � .. �.,,.�.<.--;.:/ <br /> Bv.................���:_....:._::.�_:::.::.t.....�..............................�1 qcrt t. <br /> Acc•ntcii......._....._.............__............_....10.1........ I3y.........._....................................._....... <br /> Super6ttaidont <br /> i - — - <br />