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APAkeATION NO _. A 11. .4CCOUN7 NO. ' 21 y L <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />APPLICATION FOR WATER <br />Mukilleo, Washington_ F .4 3 , IgZJ_' <br />TO THE SUPERINTENDENT Or THE MUKILTEO WATER DISTRICT: <br />1 hereby apply for the use of water in accordance with the rules and regulatlons u! <br />the Mukilteo 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 of 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 Improvementc to any consumer whose supply may thus be cut off, or be liable for <br />any damage for its failure Be to do. <br />The owner shall be liable for any damegn to the service connection. <br />PROPERTY DESCRIPTION: LC /�R/2 u. A'e 6srArc--; <br />ADDRESS. Oil 1 qt nT IN •SLJ-.) <br />State site of service inch <br />$ 2 / S c O has been received with this application. <br />The premises are to be used as a _ s! LF /'/Fs.•si e__f_-_}.i O Es✓C_E--- <br />The owner of the promises Is Sul /✓ <br />The agent it <br />The District recommends installation of a pressure regulating valve. <br />Applicant acknowledges information as to the recommendation and . . . <br />Agrees to install a pressure reguaung valve <br />r Signed <br />Declines to instal pre a regulating valve <br />Signed <br />It Is understood that ;lrronnectfons, including meter and meter boa shall remain the property of <br />Mukllleo Water District. <br />' RI - WIN HOWS & CMIMUCTION L ll <br />`X signed Owner <br />k. ,Address 6J1 Vim Ridge Dr. <br />k CNA e Everett, WA 98203 1,5 <br />- Agent <br />i AddresE <br />