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� <br /> APPiICATIOtI h0._._ ____�_��— — ACCO'fNT hQ�+'.�=— rZ��«•�F <br /> ` ,� M1�UKILTEO WATER DISTRICT <br /> SNOFiOMISH COUNTI'. WASHINGTON <br /> %' ' `�,�' <br /> APF�E.�CAT�t�t'� FC3R �AFER <br /> fdutiiteo.Weshingtcr.—- �='=?-3 , !g�—� <br /> � T� ;Hi: SUFERIPI?EPIDEt2T OF THE MUF:ILTEO Wh'fER DISTRICT: <br /> I i�csebi applp lor tns use ot v:aler ir, accordance with ihe rule� and reguiationc o"t <br /> � the 1.!ukilleo WaL:D!striat. <br /> � Dunng the tlme that any o: tlie wote: nain� may be taY.cr. up by reaso.^. cl an}� ;:r. <br /> � provement Quthori:ed by the Uistrict ir, or o! any sireet, rood or alley in whicF they resy <br /> have been laid. tk�e Disirict will nm 5e re�uired fo fumish wet�: durinr, tne P•'oarecc c: <br /> sucF. �mprovemenle Ic ony consumer 'ti'hose supp�y ma� tuuc �:c: cu; oC•, o: :,c I:acio io: <br />� aap ca:nage ie:itc ioiiure so lo do. <br /> The nwner thall Ue liable fo: any damages to the service conneclior:. <br /> PItOPF1:TY DESCRIM'10�: ^° 1 a� <br /> � J- / \ 7 <br /> /'G• i'mcn / !-S Z TE.I �J; �� � <br /> kDDRE55: �L'S-/ � /G �-�. �/ L-L/ -- <br /> Slate s:xe o!service '_�"'�` inci: <br /> 5 �f��00 has been rec=ived uith tir�ap�l;catior: <br /> Tne premises are to ne used cs a�7 �f� /%"/"' �` <br /> J1 -�---- <br /> Thc owne:o.'inc Premisec is 'r •'!"m: n / �S �.��S� =!_�__ <br /> The a9'r.t i.. — -- <br /> � ?he Dis:ricl recomme�d= installatien o( c pressure regulalinG vcive. <br /> i�ppllca�t ae}novrledqea in(o:mation a� :o lhe :eco.^..mendctior. anc . . <br /> hgrees�o install c p:essure regulaLng valve <br /> Signec .— —T <br /> Decline�to in/��tg✓/¢�q�e/�^Sutk rec�ui ig al•f,�e�� _�.-���' � ' ,� r�, /� <br /> S:rned 1 � (- �/l�-�i ��. � � I�!/�;,—�ii {%�.`�"�'��_ <br /> It is undcrnood ih�t all conncction. indudinc metcr and m•tcr boz shall rcm in tl�c �y of <br /> ( p pc: <br /> !1lukilteo R�ater Uisvict. / <br /> ^ 7� � t �� / 1 <br /> P !,1 L Sianed �� ��� . !i i`!�� / '�.� w���� <br /> � <br /> OCT 23 1986 ,.��:��� i�:�� �- i'�. -• •a '�,..:/«�:.� <br /> , <br /> , � <br /> g..__ ,r,.,��.�eo1� .1e:>.�`/� J�G3Z—. �� aen: <br /> f.���v,ILTEO VdATER DIST ;.ca.�,�___ 3_==_�i�.s.c-( .____ <br /> I I <br /> C i/� ��� <br /> � TOTAL MATERIALS COST y"?�yL <br /> :�1R OrFICE USc ONLY: T <br /> Cf.T� COMPLETED _ ——_. - F <br /> POS7 TO ACCT N0. 3 ys.—.-�:�Z" .-- T <br /> C <br />