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APMCIGON NO. al ACCOUNT NO.;; �� <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />APPLICATION FOR WATER I <br />�vqq <br />Mukilleo, Washington_ S— / 3 - —, Igo <br />TO THE SUPERINTENDENT Or THE MUKILTEO WATER DISTRICT: <br />1 hereby apply for the use of water in accordance with the rules and regulations of <br />the Muktlteo Water District. <br />During the time that any of the water mains may be taken up by reason of any im- <br />provement authorized by the District in or o! any street, road or alley in which they may <br />have been laid, the District will not be required to furnish water during the progress of <br />such improvements to any consumer whose supply may thus be cut off, or be liable for <br />any damage for its failure so to do <br />The owner shall be liable for any damages to the service connection. <br />PROPERTY DESCRIPTION: L°T / 3q i it ✓A Fs 7-ti76-5 <br />ADDRESS. O" �r 9 T P-0 - S <br />State site of service inch <br />Or. <br />S '�' t 5' has been resolved with this application. <br />The premises are to be used as aJ 51A1AC9` Fit„' a- '/T <br />The owner of the premises is �l f �(/�r✓ y� N <br />The agent <br />The District recommends installation of a pressure regulating valve. <br />Applicant ackncwledges information as to the recommendation and . . <br />Agrees to Install a pressure regulating valve <br />,C Signed _ <br />Declines to irstall ciyressurc regulating valve <br />Signed ._Gy <br />It is understood that all connections, including meter and meter box shag remain the Property or <br />hlukllteo Water District. <br />/1 I1 HOMES & fAHRt1ffder EiD, <br />N �j t �, X Signedt�� Owner <br />n Address _ 601 View Ridge Dr. __ <br />W NrEverett, WA 98203 �. -, � , <br />� Agent <br />