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Tap No .....�i.=1-.? <br />MUKILTEO WATER DISTRICT <br />SNOHOMISH COUNTY, WASHINGTON SAS <br />O J1 <br />Q �g,�MgATION FOR WATER <br />q, P1*1 blanks must be filled in or crossed out <br />Mukilteo, Washington.......................................................... 194....... <br />O WA <br />TO THE* F TNE OF 1 hereby appplyy IforE he use of water in n accordance Ewih therules <br />DIa and regu- <br />lations of the Mukilteo Water District. _ <br />During the time thnl any of the water mains mny 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 hove been laid, the District will net be required to <br />furnish water during the progress of such improvements to any consumer whose <br />supply may thus be cut off, or he liable for any damage for its failure so to do. <br />ApplicationNo ................................................ ,^, <br />Black ............................ .......... Lot..........d ~..rj....... <br />......... A ._.. _ .......... <br />No......................4.. t _ ....................................Street ..... .... .... <br />..._..._._ <br />State else of tap.....'..........inch. <br />It ___ ......................has been received with this application. <br />Superintendent. <br />The premises are to be , sed an a................... ................. .... ... <br />The owner of the premises is .. ... ........ ..... ......'... ...... ... .......... <br />.. .... <br />The agent <br />This application, although signed, shall not be binding upon the District <br />until accepted by fbe Superintendent of the Mukilten WnterDistriet. <br />Signed....,. <br />Accepted ........ _................... "'................... Su194........ By.....................................ton...ent ............. <br />�tend <br />