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APpLICATiON NO. �� _ ACCOUNT NO.Q,�_iSQ�I//p/L; <br />�"" ! <br />MUKILTEO WATER DISTRICT <br />9NOHOMISM COUNTY, WABHINGTON � �� <br />APPLICATION FOR WATER � <br />Muklltso, Waahlnqton.�=_! � �g d� z— <br />TO THE SUPEflINTENDENT OF THE MUKILTEO WATEP DISTAICT: <br />I hereby apply lor the ueo ol water In accordance with tha rulee and regulallone of <br />the Mukllleo Wa�er Dieldel. <br />Durinp Ihe Iime that any ol Ihe water mainn may bo taken up by reaeon ol any im• <br />provement a��Ihorized by Ihe Dlelric� In or ol any etreet, road or alley In whlch Ihoy may <br />have beon lu�d, the Dlelricl will not be requlred to lurnlnh walor durinp Ihe progreee of <br />such improvemonte lo any coneumor whoso aupply may Ihue ho cul oll, ar be liablo lor <br />any damago lor Ite lallure eo lo do. <br />7Tie awner �hdl be IBble fur �ny d�mesa lo ihe �ervlce cooeecllon. <br />PROPERTY <br />ADDflESS� I����iZ`y___�z�� S � <br />Slaleefzaolaervlce 3/y Inch <br />i � U hae bean taceivad wlih Ihie appllcallo:.. <br />The promleae are lo ba ueed ae a��! �! �� <br />The owncr ol the pramleee In _ � � <br />� �L <br />Thc agant is __ �� 71� G� <br />The Dietrict racommende Inatallolion ol o preeeure ragulating valvo. <br />Applicanl acknowlodgea inlormalion oe �o Ihe recommendalion and . <br />Agrcea lo Inetqll a preesure regulatlng volva �' <br />Si9ned �i�_�_�'/��{.� <br />DecNnee to elall a preeauro regulaPng volve <br />Siqned <br />It Is undenload Iha! dl cannectluns, Including meler end meter boK �h�ll rcmaln Ihe properly of <br />Nukll�eo W�ter Ulridcl. <br />��—�/'� � � SI ned_� �_I�L �.u-^-� <br />9 til'-`=� , Owner <br />APR 7'r 19p� Addrnse L_�_�� ���f�, ��'� <br />�Y_.- _l _�-l7i�-.t1.d—�iv�c�at-.[�__, hgenl <br />iu�a�tEo wnrER rncr �j�i <br />Y Address _. _. _. ._ .__.(_Q_"Z.�-L______ <br />