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MUKILTEO <br />AJ/Il.(/ <br />TapNo ........................ ........ <br />WATER DISTRICT <br />O SNOHOMISH COUNTY, WASHINGTON <br />Dim �• <br />P <br />Q : AP,�i.ICATION FOR WATER gala <br />All blanks must be filled In or crossed out <br />Mukilteo, Washington.......................................................... 194........ <br />TO THE SUPERINTENDENT OF THE MUEILTEO WATER DISTRICT: <br />I herl awp�ly for the use of water In accordance with the rules and regu- <br />lations of the ukiltm Water District. <br />During the time that any of the water mains may be taken up by reason <br />of any Improvements authorised by the District in or of any street, mad or <br />alley In which they may have been laid, the District will not be required to <br />furnish water during the progress of such improvements to any consumer whose <br />supply may thus be cutof, or be liable for ary damage for its failure so to do. <br />Applicatiom No ......... ............... ........... ............ <br />Block ........................................ Lot............. e,�........_..._. Add ... <br />..1. ..... �..e.....�... <br />0No ..............................................._ ..... ....wG�}Btrea ......................... <br />.................!f...... J......................... :.._............ <br />.......... <br />State sift, of tap: ........................inch. f /r <br />......__.. ,...has been rereived withe this npplication. <br />e Superintendent. <br />The premises are to be used its n. ..................................... <br />The owner of the premises is .. ........ ..... ..... <br />......_.._.... <br />The agent is - ... <br />This application, although signed, shall not be binding upon the District <br />until accepted by the Superintendent of the Mukilteo WaterDietrict. <br />Signed...... <br />.......Owner. <br />Accepted.......................... ..............194........ By.......................................................... <br />Superfntendent <br />