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r-•��-,... .. .. - - A'.-':•1•;• �:�G�C'-/S%S�G%L <br />MUKILTEO WRTER DISTRICT <br />SN()MOMISH COUNTY WASHINGTON � <br />-_ g <br />� APPLICATION FOR_ WATER <br />-- -- �; - 1 c r.c <br />�c„t::�.- v;�-,n�����.. - <br />.. ..�;. ....�...,....�i:IC:iEt:` OF THi IdIII:L'.i`" V'A'.CF, DISThl7' <br />.:o• Il�e uce o, water v: accor�^nce wdh Ihe rules ond roaulat�ons ol <br />..�.�. 1•'s-.�iie�: '!.'oier D�stnet <br />L:nmq ihe lime Ihal any of Ihe woter mmr.c may be �aken uF by re�eor, o: ar.y �m- <br />. var.�em aulhorizei 6c ihe i��:st•ic. ir o• o' any otro¢I road rr ali��• v. whmh thr�� mo�. <br />... ..,.�r. I��c ih< inc!:r_' M•iC rm 6c r�qmre� Ic furmeh w^h.. n�,rmv �hr. prnr;rcr.r, o! <br />, . t�rrn«m�•rl� b �c;. . ....- wtio•:o �.uppl} may In•.i: . . � . . . � . <br />.. ..'.�oOP tot ill; Imlu't sc I;..ds;^ <br />1 i,�. ou�ne �hxll be IiaMv lur unp danmpe:. ta Ihr �erncc cnnnr:ii �•. <br />PI � �I'I P Il' UI�.SCHII'TION��L�_� `S �----- ---- <br />�_, rm.Cta n/ CS �c �r 1 J ��l�v__�C . <br />/7/�' /tGf�i S� Sf.�,� <br />3��_ . _ �r���. ^ _ __ <br />�- _ —C��"71G3C�OC�('��yri, <br />�;� / S. C L :-�. �,��n receivnd with Ihu apphcatior. <br />�..�..�m:;rrarelrbeuse�^sn_ S/�_ �L_f�_!^./. / _-'.".__ <br />"n.. owner o! �he P�er,.:sr: ir .����: �r c�, �hC �C�� .-- <br />./✓ / � <br />�r.� a9e.it is________ . . _.._. . _ _ _._ <br />7he P�aeml rcmmnic•�d: :nr.io::ahor o: , praceure regulalmr. c... <br />Apphcanl ackncwl�-i�cr :niormalior. ac i� thc recommendaucr <br />. r�es Ic insmll a P�re•�yt r��'a!in9 valve <br />,.,.d--._-/ �-a�/!— _-- — <br />�.. tc meul! a Freseurc roqulal:ng valve <br />i� i undersinoC Ihai all connectinns, includinF meter ana nv,er baa sholi remmn ih�� Pr �i�:�r, ��. <br />4.i, ih���� U��Irr Uliln.l. ' <br />r , i D s,,,,,,..; ; �%,����: _ �r'�J h� _ . <br />' ` �� s c�.� <br />r,;��,.,. /? / o / c L !s� <br />' i986 e: t��,� 7� C�'A i fr ��� r, �, ,, <br />•� n;� TEG WFt:F UISi Ad.u�,. <br />i � <br />l�, <br />TOTAL MAT[RIALS COST �:�� �'% <br />�,1;; ��rrICE USE ON'.. � <br />pATE COMPIETED <br />POST TO ACCT NO. . � - <br />