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Tap No..'.!�1�.......... <br />MUKILTEO WATER DISTRICT <br />APPLICATION FOR WATER <br />All blanks must be filled i/cm% out <br />Mukilten, Washington, ,19TO THE SUPERINTENDENT OF IE O WATER DISTRICT: <br />I hereby apply fortFfause of water in acro the rules and regulations <br />of the Mukilteo Hater iivss irt. <br />During the lime {hot /an raf ti water mains may be taken up by reason of <br />ans• impmvcmcnt oath. rr r th istrirt in or of any street, road or alley in <br />which they may ha�f.een 1 d, did; District will not be required to furnish water <br />during the progress xf surRtimp menu to any consumer whose supply may thus <br />he cal off, or he f�blc fQor_ nny�{iopr forits failure Soto do. <br />Application No. <br />Block_ .., � T.nt./9 Ad r_/'+-✓s"' .�....._..... <br />°13A4 S s LA) <br />State sir of^tap: <br />$ �D has been with tkir nppliratiuu. <br />.Cuprrintendent. <br />� f <br />Tite premises are to be used as n ......_. .__.... ... ._..._........ __. <br />The owner of the premises is. _. _ .... _. <br />The agent is _ <br />This applicatims, nithough signed, shall not be binding upon the District untB <br />accepted br the Superintend of tile <br />M kkiltrnW r istrict. <br />Signed._ .. .. 3. p-vrtvb ..............._._.....Owns. <br />By.. ..._.... ._.......__.. ._...._ ._..... .................... .... ...... ....Agent. <br />Accepted i N lic <br />.Cuprrin(rndrnt. <br />