516 93RD ST SW 2018-01-02 MF Import

Tap No..... A.....�.�..�5.. tP �UKILTEO WATER DISTRICT P ' 1SSUGHOMISH COUNTY, WASHINGTON MpR /] a� N,� ''AVPLICATION. FOR WATER All blanks must be filled in or crossed out Mukllte.o, Washington, ........../...... .......:.""�'�..., 1P1!.....� TO THF.SUPERINTENDENT OF THE MUKILTEO WATER DISTRICT: I hereby agp1ly for the use of water in accordance with the rules and regu- lations of the Tlukiltro Water District. During the time that any of the water mains may in• taken up by reason Of any Improvements authorized by the District in or of any street, road or alley in which they may have been laid, the District will not be required to furnish venter during the progress of such improvements to any consumer whose supply may thus be out off, or be liable for any damage for its failure so to do. Application No...... ..... ._.................................. Block ............... ..._..._.............. Lot.........1.f.................I Add.�..�_.:..' -6.... of NO ....... .._Z.�(P .�.. 7 3.rs 1_.:3lL........ c . Street ........................... ........................................... ......................................... .../G.. ,� State size of tap: 75e...... ..... ."Inch. ...has been received with this application. ................. .................... ...................... ............................... Superintendent. The premises are to le used as a a.[...�....��Z.':��.......".......,...((... ............................. _..... The owner of the premises ........................................................................ The agent is........ ........ -t This application, although signed, shall not be binding upon the District until accepted by the Superintendent of the Mukilteo WaterDistriet. Signed.................. _............. ............. .................................... ....... Oroucr. By........................................................................................Agent. Accepted__ _ ........ _............... _.......... ....... 19C.-.... By. ................... _..................... ..... .......... Y Superintendent