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10333 16TH PL W 2016-01-01 MF Import
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10333 16TH PL W 2016-01-01 MF Import
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Last modified
4/4/2017 2:13:46 PM
Creation date
4/4/2017 2:13:44 PM
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Address Document
Street Name
16TH PL W
Street Number
10333
Imported From Microfiche
Yes
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� � `� <br /> APPLIC6TiOtt WC.___--_—�C.� ACCOUNT NO.��t'�.> : <br /> �, NfUKILTEO lA�ATER DlSTRICT <br /> , <br /> ` " SNOH�MISH COUISTI'. N'ASHINGTON �2 <br /> � � --- — � � <br /> A�.PP�G��eFEC�'l�l F�R �f'�.TER <br /> �' <br /> ldukilteo.Wechinaton / ---��—� �--, 1°=�-�= <br /> TO THE SUPSRII7TEI:DEI7T OF THE I.AUI:ILT:O VrF.T�P DISTRIC?'� <br /> - ne:enp a?p!�: !c: tne use ot woie: ir. a�cor�anre x•ith the rules and regulalionc o; <br /> � �ne Muhilieo VJoter District. <br /> During ine lime thal any o: ihe v:eter mains mcy n: token up �y reasor. ei any im- <br /> ' provemen: vuthorizec n7 fne Distnc: in o: o: cny slree:, road e: cliey ir. x'nir.i tncy r..ay <br /> iwvc beer. ia�d. inc DicL-ict wil; nc' be requu�d to iurr.ish walcr c�.�ruiq thn proaresc oi <br /> .,�.:ci; :mProvemonts 1c aay cor,au��e; whose supF�Y m�p tiiu_- :,.. c•�: e;L c. .,c. 1:-6i; io. <br /> �:�p d�ma9�=ior im la:lure so to da. <br /> 'ih� owacr shall be liab!e fot any damaces to the sen�ice wnntciion. <br /> r / 7 <br /> !'ItOFGItTY DGSCRIPTION: ��• �� � '" <br /> � � � l f <br /> - �_.� ,-�,__� T _�=__�c �ts-, -- - -- <br /> 7 0 <br /> r.,n��sess,_ /a 3� 3 /G f/� �- i. L.��. <br /> S;�;e:-,:zc�o',ervice '�:1 —inch ..i"J _ y <br /> .�/.� <br /> „_._��__ n¢c been rec>ivec vrdn tnis applicatior.. <br /> � / i <br /> 7'0�,ore:nises cre to be usec as a_:� , � •, i= �""� l-' /'�/'1� G ;n�� _ <br /> Si��.: o�cner ci tnr Prenises is �' . •'�a�" �,'{ �} .�.� , Cs �%j� <br /> ._i;c aacnt :c ---------- <br /> � ':nc Giri;ict recommcnds mstaqm:or. oi c p:escur� regulatinc valvc <br /> Applia;n! ❑d:r.owledges inic:metior. es to tiie recomnen�atior. and . . <br /> ;ar^=_s to instalt c pressure regul�:iag vclvc <br /> S�:�ed— —_ — �''` __-- <br /> - - .,. to ir.stall •c•zac�r.,ry�val��.. <br /> ._-"z;�.aac� �'� ' ��� � — <br /> i <br /> Ii is understood at all connection�ncluding meter and mcter bo� siiall remain the property o( <br /> \fuLiltco 11atr. U� ri[t. <br /> P. A I D s�g,�a -- ow,�- <br /> S E F 5 1986 r,oar���. i„�. ;_ - _ �,,�-�✓�.,�..�, <br /> 9�. �. �r,..V<.,.•,;�c r'� %� �'i :� ' =7 / , h4er.t <br /> r���KIL7:0 WHTcP, DIST ' <br /> � �aa:�,�---— ----- <br /> I <br /> � TOTAL MATERIALS COST I�.���- <br /> =OP. OPFICE USE ONLY: T� <br /> D�7c COMPLETED . ._ <br /> POST T=� 4CCT N0. _ j���-- �`�N..—_`___. . - T <br /> C <br />
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