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APPLICATION NO. •�_ __ ACCOUNT NO.�SL'G.�S�CI�I <br />� <br />MUKILTEO WATER DISTRICT <br />BNOMOMIBH COUNTY. WA6HINGTON �Z� <br />APPLICATION FOR WATER q j/ <br />r'.kll!eo,Washlnplon ����^^�^�^ a� ,19� <br />TO THE SUPEfl1YTENDENT OF THE MUKILTEO WATER DISTHICT: <br />I hereby apply lor the uee ol water {n occordanco with Ihe rulee and rogulations ol <br />Ihs Mukliteo Waler Dletriet. <br />Durinq tho tlme that any ol ihe w�tar malne mvy be lakan up by reason ol any Im- <br />provoment authorized by Ihe Dletricl In or ol any elreet, toad or alley In whlch Ihcy may <br />hava baen lald. Iha Dietrict wlll nol be requlred lo Iurnieh waler durfng tho prograee ol <br />euch Improvamenle lo any roneu�ner whoee eupply mny Ihus bo cut oll, or bc liable lor <br />any damago lor Ile Iailure eo lo de <br />The owner ttull be Wble fo� any dam�ges lo the �ervice connecqan. <br />PROPCRTY DCSCRIPTION:�I A1—' I �-. A R �0.A \Q _-v✓ <br />ADDflESS: �`' . USL ---L] �-' b" S �J <br />Slala nlxe ol earvlca �—_.— Inch � <br />j�.�l���hae been recelved wlth Ihla application. <br />� (� � <br />The pramlees aro lo ba ueed ae a��t�,ap.�' .]1�,.}--�-T�_— . <br />Tha ownar ol Iha promisea ie �y,,.,"�]_`�4 �-+ . <br />Thn aqent le __ — — <br />T'� v Dislricl rocrommende Inelallalion ol a preeaure regulating valve. <br />Ap,Aimnl acknowlodges inlormol�on ae lo Ihe recommendallon and .. <br />Agrees lo inslall a preaeure regulating valve <br />Si9ned____---.--_ -- ._.—_— <br />Declinee to elall a prese rcgulatiy va .o • <br />Sianc t J �/ �" _.—.__'_ <br />It Ic u e�ood tha� all connectlon�, Includin�t mete� �nd meler bux �hdl remain Iha properly of <br />Mukil�eg W%�tcr'17�jµ�ic�. .' <br />N IJ I�'/ <br />Si9ned � . •_ � _'� �L /—_ r`, ----, Owncr <br />�ECi �+ �� �9��1 eaa.b.� 1f_ 1. C-' .� ._�(. ��e�,�...nit <br />r�uia�rEo wnTEe rnsrPY __0�.,,,,,�>,�4_ � 9��q �_, A4e�� <br />-- <br />a n��«ss_3� �_-_ la �_ - _ _ - ---- _— - <br />