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Tap No..../.fJ... ..,/L. <br />A ; C'MUKILTEO WATER DISTRICT <br />P `I SNOHOMISH COUNTY, WASHINGTON ^ �I <br />. � -�Ct • t� lQ <br />...'vAMICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Mukiltao, Washington.......................................................... 194........ <br />NDENT <br />TO 1THE herGbyttugly Nor the use of wterTHE <br />n accordance with heEruuleD1¢ d regu- <br />lations of the ugly <br />Water District. <br />During the time that any of the water mains may be taken up by reason <br />alley any <br />whichements they may prorized by ogress <br />been laidI the iDistrict will in in. of any <br />street, <br />required to <br />supp <br />ly hmalar thus beg cut off. Or be liableet r any damage torrovements to si a failure so toumer ose <br />do. <br />PPY Y <br />Application No .... ..... ..._......#.................�% AA�' <br />zi <br />._..... I.ot........ ... Add. ......................_.....5 ....... <br />. _...........!;F.' <br />No ........... t.Q 2—.. 9;F. :!V:4.�.............................Street ........................... <br />}�Ov1...... ...I ....4..... A 4i✓.............................................................. <br />.................................le .0....2....s�....,Hra.,. <br />state size taps ... <br />r��.!{...-,........Inch. <br />$ ..........has barn received i[h to •J <br />............. e .... .. ... .................... <br />�i� rintendent. <br />The premises are in he used its a ................................ ........ ....................... ........_..... <br />The owner of the premises is ........ ..........._............ _._._.......... <br />........ <br />Theagent is,.....__....... _....................................................................................... <br />not be <br />until This application, <br />ihy ithe although <br />tdof the Mukilteo R alterDist ict the District <br />Signed .................... ................... ..................................................Owner. <br />.. <br />By............._... ..............................Agent. <br />.............................. <br />Accepted ...................................................194........ q...... ............... .-Su.perintend mtt <br />