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10529 16TH PL W 2016-01-01 MF Import
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10529 16TH PL W 2016-01-01 MF Import
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Last modified
4/4/2017 2:15:20 PM
Creation date
4/4/2017 2:15:19 PM
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Template:
Address Document
Street Name
16TH PL W
Street Number
10529
Imported From Microfiche
Yes
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L.• � / <br /> / / <br /> hPPL�tOtd HO. -- -�+� � __ ACCOU,dT ICU._=7�:'%_�'_�_/-�• <br /> MUKILTEO `IJATER DISTRtCT <br /> SNOHOMISH COUNTY. WASHINGTON r <br /> —'_ — I(�'1 <br /> APP'LEC�I�i"�r�E F�IR 1A�AFER <br /> �' l� _ „ � <br /> N.ukilteo,Weshington � _._.'-= � , 19.•�_�- <br /> TO �NL SUP�Al1.TEPILEPIi OF iHE IdUF:ILTEG VJhTEP, DISTSICT: <br /> � :^:cuy� apply ;c: tim ucc o: walo- m acro;dcacc x�ilh t�c rules and regulations o1 <br /> � �im 1".ui:ihco VJate;Dist:ict. <br /> � Luring the time ihal any o: ti�e wate: mainc ma}• be fa'r.er, up �y :ea;on ol an}• im- <br /> p;ovemen: auti:oa>_ed 'ny thc Di,L•iai ie or o! a::y street, road or cliey in �vhich tney me�• <br /> ncre ueec lai=, �iie District w•ill not be re�uireo te iu:ni;h wale: du::nq �he ,:o�re,a o! <br /> a�c!: i:nprovemenls Ic er.y cor.su::,er wnose cupply may Inne br c�. o° c ..r I:��L^ io: <br /> .n;� damagr. Ic:ils foilure sc to do. <br /> The ownc sLall be 1ia61c Cot a!�y damaqa to lhr. service connection. <br /> PROYERTI' DGSCRI!'TION: � �____ <br /> � � L / �. <br /> � <br /> __ . , rr,-,� „c� � _� tirr c % �� � <br /> ,._,:;=.... _ �� S�_' �r /G '��i f�� �V� <br /> St�ie a._r o! service -�/�--�' inch <br /> �__ <br /> � /—� ' � ���' has been received with this applicatior.. <br /> �.7, <br /> Thep:emisesare�obeusericsa �� �' �� ' r�� �^- � �,�-' ���5 ' �£ ��; � <br /> .i ' � � / !-/ / <br /> ;neev:ne;oithe � -. r_ -�- <br /> pmmisesis_'�. :_r.•,. tgn � � � ."_'_ <br /> ' � c- (J <br /> :'hc. aaen'. i� -� .� - = t-- <br /> .s Jiatrict recommends inslallat�on ol a oressure :egulaiing vetve. <br /> i,raticant ackr.owledaes in:o:mation as to tire recommend�uo.-, end . . . <br /> hg;_.es to ins�al!a pressu:e:egulatinc valve <br /> �:�noc �� <br /> ..,�:�.�es to install¢pTe„ure reguialm�n J��lve � G/y, <br /> ;'���ec Y G�✓L���r \ :/ ,//..i'-t- i: <br /> r—j v' ' <br /> J <br /> I; is understood Ihai all connuctions.inclutling mctcr and mC3e�bos shall rcmain ihc proper[}'o( <br /> ",IuCiltco 11`atcr DistricL � <br /> i / <br /> P .A 1 ll Signed ✓, `?ti��v�-.JG`�-'c.r � .' �/��.��ti ' , Owne: <br /> i. � ' � <br /> : �P 151936 F,dd;ess ,;avC�, ��,<< ,_ ; i - .:�,. ,�� -- <br /> ��. ��. _� ,.,. :1 �� 'N �� <<'�= �' — ti - <br /> ii� ��I-cf� 4".��'R n�:- � <br /> a^ �' <br /> .. „ . Address <br /> I I <br /> 6 � " <br /> � TOTAL MATERIALS COST 1�.�• �''�- <br /> rOR OFr"ICE USE ONLY� <br /> DATE CONPLETED --_ ... . _. _. _--- _-_ <br /> �U_;� �:�i, �-� -- <br /> POST TO ACCT N0. — - <br />
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