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r,?�ticf.��a2--- (--- -- �ccoma� t�o.��G_r �'7 GO <br /> ���� <br /> �UKtLTEO WATER DISTRICT <br /> � �,\� SNOHOMISH COUNTY. WASHINGTON �^ _ <br /> V, ` J <br /> � APPE.BCA'FfOt� FC�R WATER <br /> tdukilteo. Washin4tor._____-_ ��__�_• 19-� <br /> TG THE SUY£.RINTENDEI•]T OP THE MUI:ILTEG 1:'ATEF: D;STRICT: <br /> I ner^cp apply fo: tne use o( walr, m acaord¢ncc- with Ihe rules and regulation. ol <br /> � the Mukilleo Vlote:District. <br /> , During the tine that any ol ihe •e�ole: mainr. map be foken up by reasx o! any im- <br /> provemeN authon:ec by Ihc Drtr.=: ir. or o! ar.r stre=f, road o: a!ley in which they may <br /> nave neer. lmc, tiie Disiriet w�ll not bc require� lo (urnish water durinG !he progrc�s o1 <br /> :uch improvements to ary cu::cume: whose supply map Lmc i,r cu! el:. cr �r� i�celr ioc <br /> any damagc ior itc{ailu:e ao to do. <br /> Thc owncr shall bc liablc for any damapcs lo tlic scrvicc conncctian. <br /> � PItOPI:R"Pl' DIiSCRI!'TIO\: `�� � 'J-' <br /> r!• �r i'+"c n � F S jL �c'.: l 1/ 1'� '� <br /> hDDRESS: �GS G � /G f �7 f'�� G�% _ <br /> � Slale s:ze o; :.errire =' � __ineh <br /> $��`U _ha.been:c=ived x�itn lhis applicaticr.. <br /> � <br /> The pre�.^.is^s me to ne used a: a�5.�_� •r �C ' � �+^ . _�JJ/���—�� __ <br /> '?hc owne:ci tnc F:emises i::../ u • �" � % �� � ���'' ��" -� + �7/� <br /> Tnc a9ent is . _.__ <br /> Tne Distri�; rccomme�cc iacfa!Iction o: c ptessure reguiminq euive. <br /> App;icant acl:nowle^?e= miormalion ec in tns re�ommrnti�tio� and . <br /> ngrees Ic ir�stall c p:e:sure:c;icletmg volve <br /> Pilgnec____ -- <br /> Dc=lines Ic i iy'r z r�T'wq:i valv— � S -�-- <br /> �' "� �._ p � ��j F l� � � r <br /> Siqn�.a � ��- �L_ .L• � ! � �4�.,�.,� ��__- _- <br /> � � <br /> It is undcrsiuod �hat all conncctions, includinF melc and meicr 60� fiall rcmain the propertc oC <br /> plul:iltco l\'ntrr Uistricl. /;, ( : r��-/� 1 i, / /' / <br /> P,A I D Sigaed� ��'fC�_I _!=L_�_!lA'����,J `l- /„V ':Ov:n�: <br /> - - <br /> O C T 1 � 1 9 80 'd d r e�s �.� `�G L. ���.. �, tG c 'e l [f �..r: <br /> gy !��� v� a.,•:t �_�. � %�G_'l 7��en' <br /> �M�'11L7E0 WATEP, DISTr�yT�n�—� _ `�jSy'__ ___ <br /> I � � I <br /> Ci/, ��, ) � <br /> � TOTALMATERIALSCOST ��.�.�� _ <br /> POF OFFICE USE ONLY: <br /> DATE COM?LETED -.-�_:r- -���---- <br /> PO5T TO ACCT NO. ___��' '�'�`-7==- - <br />