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10521 16TH PL W 2016-01-01 MF Import
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10521 16TH PL W 2016-01-01 MF Import
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Last modified
4/4/2017 2:15:15 PM
Creation date
4/4/2017 2:15:14 PM
Metadata
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Template:
Address Document
Street Name
16TH PL W
Street Number
10521
Imported From Microfiche
Yes
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r C".J 0 <br /> � {poLIC/.?:OIC IdO. :T �" -- --- ACCOUIdT tJO. �!'�'��—.�' '=^' <br /> � MUKILTEO WATER DISTRIC"f �, <br /> SNOHOMISH COUNTY. WASHINGTON <br /> `�� <br /> kPPE.�CATtC3l�! FCbR 1AfATER _ <br /> y/r� <br /> Mukilteo.Wasnin4ton----� . l9•�—�- <br /> TO ?y� SU?ERII]TENDEP:T OF T9E tdUI:ILTiC WhTEn DISTRICT: <br /> I hcreby opF�S' �o: tne use oi watr. ir. acco:tiance v.ith ti�e rules and regulalicnc ol <br /> � ti�e tJ,ui:ilteo Wate:Distnci. <br /> Duriny ihe time thot en� oi ihe wate: mcins may be taken up by reacor. ai any im- <br /> ' provement authc:i:ed by ti�a Dict:ict ir. or ol any street, road or alley ir. wh:cn thep :n��;: <br /> h�ve neer. laic, ine Dishld will not be requirec to iumi�h water dur:nq ihe proare�r a <br /> :�.uei. ir.:provert;enle te a.i}� ��nsumer wnose suPPly :nay thus �c cu: o'i u :�:� !id:,;.: ic- <br /> cr.1' �-mage lo:itc failure:o to do. <br /> 'I�hr nwner shall Ue liable fo� anp damagea to the service conneclion. <br /> / 1- �) <br /> ricoreurv nr.scatrTion�: �- � � � <br /> - 1 � __ <br /> /=� �- , �,�v� �=- r ti 1�s �; �. _/ — <br /> ADDRESS. /".S ' I I L^ ��i !' � !tJ . -- <br /> State siz�oi service J `1 inch ----�—�-- ����-- — <br /> ; /- , C n has been received with th:c applicatioc. <br /> J ;i, /�:� l . � .in - __— <br /> Tn�p;emses cre to bc used ac a ' " � -=1-=--- <br /> ':neowne:offnep:emisesis "' r ctiCn � �S�t_ 1� S � / �� _ <br /> ?ne agent is —. 3�J—J ls—�— <br /> Tne Dsr.iM recom.^.iends installatior. oi c precsure mgulatinq valve. <br /> i�ppliccr.t ❑c'r.nowledaes iciurmation es l0 1�e :ecomn^ndmion anc . . . <br /> l,qrnes to in�tall a pressure reaulaling valve <br /> Signed— � �• ,. --__-- <br /> D=clines to install c preesu;e mq����a<<'c �� �:_, <br /> Swncc �__��_�./ 7.�. _ <br /> � <br /> It is undcrstood tha: afl conncctions, incfudinc mctcr and mcicr bos shull remain lhc orupc[[}'of <br /> \fukiltco\F:acr Uistrict. <br /> � �jj/� CJ ' <br /> l� A � D Sianeo —/ =^,.�_ ^`_ .�i . ✓ ,:�`C"--�C�—. Owne: <br /> � <br /> / �1 � / <br /> p f-�y'1�.� ls /�/ � ��lG AjJ._. �/ .il��t/ <br /> _ _f� � � �gp6 Acdress � 5 � <br /> B.. ..� �� �:.'ur_C ��� %.l�"-� 3� . A9en! <br /> � <br /> .-, <br /> ia�qli_jEQ ViH�FR ��c� Addresc <br /> I <br />�'I � 70TAL LA80R COST �"< <br /> ,cosT /�1. , '; .�7___C_G- <br /> 7pTALCHFRG:.S —_� �C• <br /> ADD � �-� "P OVERHEAD _-�� <br /> � �--" 7pTAL OVcRALL --- <br /> -�� - CUSTOh1ER CREDIT -------"" <br />
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