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A;PCZ ATiON N" 1 11 7 '�k 4/ ACCOUNT NO.a �' l b �R- <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY. WASHINGTON <br />APPLICATION FOR WATER <br />7.3 1 <br />Mukilleo, Washington ___— [fl - / 3 .1921 <br />TO THE SUPERINTENDENT OF THE MUKILTEO WATER DISTRICT: <br />I hereby apply 'or the use of water In accordance with the rules and regulations of <br />the Mukilleo Water District. <br />During the time that any of the water mains may be taken up by reason of any Im• <br />prevenient 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 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: //- C % 2 / /-/o/ R ", Av er7-AT6S <br />ADDRESS: q G 5— 11 ( I I-11- . Su-) . <br />Slate site of service inch <br />G� <br />has been received with this application <br />The premises are to be used as a S%AiR 6rp&.r_ ram_ <br />The owner of the premises is /7 / - W / d.i He A4 aw 5 <br />The agent is_ <br />The District recommends installation of a pressure regulating valve. <br />Applicant acknowledges information as to the recommendation and <br />Agrees to inatall a pressure regulating valve <br />i/ Signed_ <br />Declines to <br />valve <br />11 Is understood that all connections, Including meter and meter boa shell remain the property of <br />filukilleo Water District. uPtlrI a' <br />RI1f1o,,,. ;:.• - .:.; :. , SiCUTIUN LiQ <br />PAID Y Signed fPP' i-ac � wilder Owner <br />GD! \'Icw Rdge Dr. <br />Address—%9erett-WA 9o_A3 <br />SEP 131979 f� ,fil � <br />. Agent <br />iRVOLTEO WATER DIST, <br />