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Tap No—,& Zr�.......... <br />MUKILTFA WATER DISTRICT gl� <br />SNOHOMISH COUNTY, µ'ASHINGTON <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />..................... . <br />hlukiltco, Washington, ....... 1...... <br />R DISTRICT: <br />TO THF. SU0.ERiN 7Ethe use of ntcr;E newrdunxEa•ith rules and rclCu- <br />I hereby ply 3' <br />lotions of the ukilteo Water District. mason <br />During the time that any of the water mains ma3' taken r of any ti thyroad or <br />pp have been laid, the District will not he required to <br />alley {niwhichether, mayh have <br />by the Distri^vemet in uts to any consumer whose <br />furnish water during the progress of such Imn dnmage tar its failure so to do. <br />supply mny thus 6e cut o f, or !M linfilc for any <br />Application No.................................................1 ✓ ✓ <br />�(�Y <br />Block........ -y/.......................... Lot .... //............Q........... <br />................................._.....&tree __...._...... ....... <br />A. N?........................ <br />oz....................`. <br />State Size of tap: -..... f ...... Inch. '',,��,,11 pvVp5r�R01Sj• <br />�a application. <br />._..._ ................has been receive iS <br />............_.... - <br />i <br />................ .... . Svparintandent. <br />ns <br />' <br />na .............................. <br />The. pre, es are ,r <br />The owner of the promises is ... 4.......................... <br />........................................... <br />The agent Is ............ ...................... <br />...... <br />__ upon the District <br />This application, t tergltendFentdo[ the Itiukishall not hteo �waterDist i.t. <br />until accepted by iun,r.. <br />................ ....... 4...............ABcnt. <br />................ <br />Accepted....................................................194........ y...................... $uprrinte-n- <br />