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1202 103RD PL SW 2016-01-01 MF Import
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1202 103RD PL SW 2016-01-01 MF Import
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Last modified
4/18/2017 2:30:50 AM
Creation date
4/14/2017 11:10:02 AM
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Template:
Address Document
Street Name
103RD PL SW
Street Number
1202
Imported From Microfiche
Yes
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� , :.v�:� <br />APPUCATION NO. <br />ACCOUNT NO. <br />MUKILTEO WATER DISTRICT <br />SNOHOMIBM COUNTY. WA9HINGTON <br />APPLICATION FOR WATER <br />Muktlteo. Wa�hln9ron � — � � , 19S.L <br />TO THE SUPEflINTENDENT OP THE MUF�LTEO WATEH DISTRICT: <br />1 herab� apply br Ihe uee ol woter in accardance wilh Ihe rulae m�d rogulallone ol <br />Ihe Muklltw ✓a�er D�.idr. <br />DurinQ ths tima that m�y ol Ihc wuler maina may be taken up by raaaon ol nny im� <br />pmvement aidhori:ed by the Dlatnct in or ol any elrest, raad or alley In which Ihey may <br />have bnen I�id. ths I)Ie1Nc1 wlll no1 be required lo lurnieh aater dudng the proqren ol <br />�uch Improvemunle to any <oneumer whoae eupply may Ihue be cut oll, or be lichle lor <br />any damaqe lar Ite lall�r� eo lo do. <br />The ownm Jult Ee Wble for any dartu8a to the roMae mnnectlon. <br />! r 4-i <br />��..'>i: -":� == PROPERTY DESCR1Pf'ION: • � <br />_ .,1� ..� . . <br />, _ s�' i s� - i i <br />� . .��'. ' . ��-�ADDFiESS: �i�'O.�✓ /�l_3i � i�� .�Gi� <br />. �,_ <br />� • • S�a!e d:a ol ��nics �y( � Inch <br />. � . . -. ... � . i /� /�n- L �_hm been reeelved wilh lids appllmlion. <br />-'+M .+*:u�'s•a4^w F.N;••r. �:Tha prsml�a� me lo bs wsd m ^a ,' �� �� / <br />� � �1'ha owner o� Ihe promises Is !-! � � �n I'r �+ o'r Q' � ��' /� �G r _ <br />. . . . � . .• , .. .The aqaN h <br />� � - �. .f� � . . . „e_' s,..i : ,...,,e iJ� ,�� �, � �� - <br />. .� �1'he btricl reccmmnnd� inetalla'�on ol a proa�ure requ�allnq valve. <br />� � Applicant acknor!edgee inlormalicn ee to/Iha rammmendauon and ... <br />�� Aqreee lo Inetall a preaauro regulatlng �a�ve �f%� <br />Signud � .. -..�'� � t,'' �lLaa.'•�l_ <br />� Declinee to Inetall a preeeuro roguloting valve <br />Siqned _ <br />It u undentood Ilut dl rnnnectlone, Including meter a�M meter Eox Ndl renuln the property of <br />Mukilt•n W�ror Dutdct. . . � , � � - �' <br />P A I D si9�.a /,�,.�._, ��l �/...r--� , o��e� <br />� . MHR 1� ���0 Addrese �•'� � U �I/��•-�/�� i Gt-o.. �./�. <br />BY ..'1�-�i� (I� /T :.F J 0 4 Aqenf <br />� M"KILTEO WATER DISTpd�eSa 1 S-?-1" O v �. <br />,: :. <br />^.{:,• Nt:.;.:y:�.,�pw• <br />. 7^i: <br />����: <br />�..� �:.:.''r,al.r .' ia. �: � .c <br />' �vr)'�d.a•:;j�� <br />J, tit '' <br />-. •''. . <br />. : ,. ;� t'::_� <br />
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