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(f � <br /> APPLIChTIOIr' 170._ / �- ACCOUNT 140��.,�..iv'-�. � ���U/` <br /> IvlUKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTY, WASHINGTON <br /> � �k.FPLlCQeT��F�! F�i� 1AC�.TER <br /> ��f 4 <br /> � , <br /> /_ , <br /> Mv'riAeo,VJashington—� � /�'�---. �9� <br /> TG 'C??E :'�UPEAI1vTE1�IDF.1':': OF THE tdU2:ILTEO V'hTEF. DISTRICT: <br /> I hcre�t appl� io: tne use o! v:aler ir� acco:dance mith the rulec and regula;ians o! <br /> � tne ldukilteo Water vistrict. <br /> Du:ine !ne time th2t any o1 the waler mainc may 6e late:: up bp :easo.^. o! any �:r.- <br /> � proverrent autiio::¢ec by the uisLic; in or o! any street, road o: aliey ir. which fhey mep <br /> navo been Imc, Ihe Dis7ict will mt be :equired to iu:nish wate: during ine p:og:oc� o: <br /> ❑ucc imp:overoentc to �.n; consumc wt:cce cupP�)' r.�ap tnu; be cu; oll, o: bc h�-oL�. ior <br /> anq dama9c lor itc la!lr:c so to do. <br /> 'fhe owner shall be �.iaUle fm any damages Ie the service c-.o.�nn7ectinn. � <br /> PIIOI'BI:TY DGSCNIPTION: / �''� G�• ��/������������ <br /> CiC-� � - <br /> /1,��-.�...,C r J <br /> ADDRESS: I C'SI � �G .'c/Gl. / � L�i� - <br /> Sicte size ol servire_ '� inch <br /> � S�C��'nvs been r^ceived with lhis applicafion. <br /> Tne premses are to bc use�as a �� '�' '�� ��`���'6�/":�--'�'�--- <br /> --7 ��.„� - � ; �� i <br /> The ovmc;oi(ne P:emisea is 1J�..�--2.19••`�v_T�7=���%ii._,".((_J,�:_u_�,.-�. <br /> _ ✓ <br /> �_� j" -�/_f ,S . <br /> The aaent ic — --" <br /> � The Lisirict :econm=nds inslallctio.-. oi a pressurc reaulaling valva <br /> hpplicant aci:nov:l^dges �nicr:natio❑ es to the :ecomnendatior. an� . . <br /> hq;ees to inst�ll c p:essure re�ulcting valve <br /> S�9ac� -- <br /> D�clinec :o ir.slcll a p:c�et}re ref,iul ?,y�. <br /> / �—__ <br /> S�a��: �� G -f .—� ��� <br /> ✓ j C�� <br /> II �s understood if'� 7 ronncctions, in:ludU+g'meter and mclet Los shall mmain thc pro crty o( <br /> Atul:illcqz\1'�tcil}iitt� / � � " <br /> l" t111J ' <br /> Si9ned / C����. _c _ `.-- , :}r.;f?r- <br /> MAY 19 1986 ;:�,:��� � , _ ry z9✓�.�. - �"r S_— <br /> ��.�,:. �� �< _ , c'��c�L <br /> h1UHIL1c0 WAieR DISi. ' -- ' — "J� :; <br /> � .�:�:�.,�--- ----- <br /> I <br /> r ��� � � TOTAL LABOR COST ��;.C-G <br /> - /':�i1�'.-- <br /> TOTAL CHARGES .._—_ ��!!__C_�___ <br /> r <br /> _. ADD � � °o OV'cRH�AD �- ��C-- <br /> / /�: <br /> TOTAL OVERALL _..-_-_..?I �.. -�. ---- <br /> CUST01dER CREDIT .___ .. . __ __ .. ._._— - <br />