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APPWC,/,t�ON NO. �� � _ ACCOUNT NO� lOL <br />f- � <br />MUKILTEO WATER DISTRICT ��� <br />SNOMOMISH COUNTY. WABMINGTON <br />APPLICATION fOR WATER �4� <br />Mukilteo, Wa�hlnqton � 7 ��-�n � . IB.� <br />TO THE SUPEfl(NTENDENT OF THE MUKILi£O WAT.H DISTRICT: <br />1 here6y apply for the uee ol waler In aecordance wllh the ruls� and regulollone ol <br />the Mukilteo Water Dietricl. <br />Durinq the lime lhat any ol the wator maine may be taken up by roaeon ol any Im- <br />provemenl aulhorieed by Ihe Dletrict fn or ol any etreat, road or allay In which !hny may <br />hava 6een Iaid. tha Dielricl wlll nol be requlred lo lurnleh waler durinp Ihe yrogreee ol <br />such Improvrtmnnts to any coneumer whose eupply may Ihun be cul oll, or Lc Iiablc br <br />any damaqe lor Ite Inlluro eo to do. <br />The owner fidl be Ih61e fo� �ny d�m�pa lo Ihe icrvice connectlon. <br />,�. . � �n:��i:�I��sR�����u�.���r.��� <br />�._. . . .�. <br />A�oAEss: y a � .- � �I �- �,a- s� <br />Slale eize ol eervlcn _� _ Inch <br />� �'��.haa bsen rPcalved r. ilh Ihie appllcation. <br />The premiae� ure to 6e veed ae a�� <br />The ownar al Ihe premlees le �„a,A. "— <br />The agont ie <br />The Dietrlc� recommende Inelallalion ol o preeeura regulaling valvo. <br />Appllcanl c=knowlodgae inlormatlon ae to Iha recommendatlon and ... <br />Agroee lo Inalall a preenure roguloling valve <br />Signad __ <br />Daclinan to fnal"all <br />Signed �� <br />r'r.'� � <br />11 le underp6od th�t sll mnnecllona, Includlnp meter �nA meter box'hdl rcmsln the proper�y of <br />Mukllleo WNcr DletdcL _ <br />1 -- <br />t.�='�I � r «.....,:., � ,�����-��� �- <br />Slgnod _`�..___ , Owner <br />nEc N�� 19L�i nda�o�ar�SU _�,.J~_ � �.�,n <br />IUf(II.TEO V1fITER DIST Ify �h,t��,�,,;z- __ __ _ � � �'� �—'' AgaN <br />Addrcas <br />