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`Q Tap No.., ....— /� . <br />p WKILTEO WATER DISTRICT <br />.,S"Gliomisn COUNTY, WASH!NGTON <br />�.ttu11SFQ � <br />APPLICATION FOR WATER <br />All blanks must be filled In or crossed out <br />Mukilteo, Washington.......................................................... 194........ <br />TO 1 hE SUPERINTENDENT � N EN the use of wotTHEer in accordance TEO WATER IeDISTRICT: <br />latione of the Dl ukilteo Water District. <br />During the time that an' of the water mains mn}• 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 mayhavebeen laid, the District will not be required o <br />consumer w <br />supplyer thus be during <br />cut,of, Or be. liablesuch <br />for any damage forrovements to itsfailure so to do. <br />PP Y Y <br />Application No .. ....... ................._.................. <br />Block.._............_.. --.......... Iw,t_ �_ ....___... Addn.(:..:� 3.... <br />No ........ .&O? Y'.... _ 3 ^ .. `S t`1.t.lJ......... "I...............8treet ........................... <br />.........._............................................................................. . <br />r/ <br />State size of tap: .. .. ...........Inch. <br />__...,.._�,: ..........has been received with this application. <br />........................ <br />............................................... ...... -.Superi..n tandem. <br />.. <br />{ <br />The premises are to Ire used as n.--� <br />The owner of the premises is._. C"- o ..-•."*"••""""". ... """"""" <br />The agent is ..... ........................ ............_................ ............. ..... <br />................................------ <br />This application, although .signed, shall not be binding upon the District <br />until accepted by the Superintendent of the Idukilteo WaterDistriet. <br />Signed..........................................................................................Owner. <br />By...... ..................... ....Agent. <br />................Ipd........ BY............................... .... ................. <br />Accepted .................................. 9xpar{ntendent <br />