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2_-G <br />Tap <br />MUKILTEO WATER DISTRICT <br />SNOHOAIISH COUNTY, WASHINGTON pq <br />APPLICATION FOR WATER <br />All blanks must be filled In or crossed out <br />Afukilteo, Washington . ................................ ......... .... ........ I IN........ <br />TO THE SUPERINTENDENT OF THE MURILTEO WATEI. DISTRICT: <br />1 hereby nppl • for the use of water in accordance with the rules and regu- <br />lations of the Afukilteo Water District. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by the District in or of any street, road or <br />alley in which they may have been laid, the District will not he required to <br />furnish water during the progress of such improvements to any consumer whose <br />supply may thus he cut off, or be liable for any derange for its failure an to do. <br />Application No ................................................ <br />Block........................................ Lot............ 7...................... Add.H .%r:3.......... <br />No...........................(S.'.. ../.......... ..... I.�yt.,—... StretRsA..0 S}'J.... <br />_.. <br />3... ........... <br />................................. <br />.............................Q............... <br />State <br />//cis otap: ....... 5.q......... inch. �• <br />a .............. ....................has been receive plic¢tion. <br />l� 00 <br />............ ...........................................................t......... <br />8¢partntendent. <br />The premises are to he used as a.... <br />The owt,cr of the premises is........ <br />TheagentIs......................................................................................... <br />This application, although signed, shill not be binding upon the District <br />until accepted by the Superintendent of the Mukilteo WaterDistrict. <br />Signed...... <br />By.... _.................. _._...._............. ............. ................. .A pent. <br />Accepted....................................................194........ By .................... <br />8uperiatendent <br />