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APP_j�Ai'(ON NO. �__ ,_ ACCOUNT NO��OD D <br />✓ <br />MUKILTEO WATER DISTRICT �(Q <br />BNOMOMIBH COUNTY. WA6HINGTON � <br />"o� �T <br />APPLICATION fOR 11wATER <br />Mukllteo, Waahinpton�l,.�__. 1� <br />1'O THE SUPERINTENDENT OF THE MUKILTEO WATEfl DISTpICT: <br />1 hare6y apply lor the uee ol wa�er In accordanc, wilh Ihe rulee and tegulalfon6 0l <br />ths Mukllteo Watet Dfslrlet. <br />Durinq Ihe tlme thal any ol the water maine may be taken up hy reaeon ol any Im• <br />provemant aulhorizad by Ihe Dl�lrl�l In or ol any elreet, road or ailsy In whleh Ihey may <br />have been laid. Iha Dinlricl will not be requlred lo lurnleh water during Ihe propreen ol <br />auch Improvamante to any coneumar whoee eupply moy Ihue bo cul oll, or be liabin lor <br />any damape lor Ile lullure eo to do. <br />The owner ihdl be Wble for �ny d�m�ge� lo lhe �erWrn mnneetlan. <br />PROPCRTY <br />ADDPESS: � U � � - 1 �-) �-- � �j � <br />Siate elza ol e�lerv,ice _� _. inch <br />i � ' v hae been recelved wilh thie applic Iion. <br />The premleoe ore �o ba ueed ae a��� <br />The awner ol Ihe promleae le __ <br />iha agenf <br />The Dielricl racommende �nelolla�ion ol o preaeure regulating volve. <br />Appliconl vcknowledgce inlormalion ae �o Ihe recommendallon and . <br />Agreae lo Inelali a preseuro regulaling volve '' <br />Slgnod <br />)ecifnee tQ`ine II a preeeura fegulaN valvye y�J <br />Si9ned -1 "- _ ��/'-Ui-"' <br />It 6 unde`�� that ell connectlam, Includlnp meter �nd meler boz �6d1 remNn Ihe property of <br />dukilleo W�fv li�ldcl. <br />�:.) � 8 f'�� <br />DEC 2 , 1'lr;;, <br />��i , � �;nrrr, Ci�� <br />Slgnod� Ii . �� ' -^ ��� -� (� �- _ -. <br />1 (� , Owner <br />Addreee�V�� \�r � �YM r� <br />Ov.11ial-�L1.+�._JlJ�,��1'__S1 ��1. Q —. Agent <br />