Laserfiche WebLink
Tap No........./ /TD <br />MUKILTEO WATER DISTRICT <br />SNOHOmlSH COUNTY, WASHINGTON <br />�111� <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />I <br />hfukilteo, Washington............./.r•.•-.......)..... ...... ..........., <br />NDENT <br />TO THE 1 hereby ugly forEthe use. ofDwaterlinn accordance Ewith the Eulesla and egu- <br />lotions of the Tl ukilteo Water District. <br />During the time the-. any of the water inning may he taken up by reason <br />of any improvements outhoized by the I1strict in or of any street, road or <br />nliey in which they may have boom laid, the District will not be required to <br />furnishttringthe cs whose <br />ppyma>hus cut off, or op liable for any dnmage for Itfailure go todo. <br />Application No ............................................./..... <br />Block................ .... __............... . Lot ........... ....�r......... Add...^..�..•.. <br />No........................ ...... St t ......................... <br />..............P <br />�..... ........................ <br />..................................... <br />State slza' f'&: ....._:!5/....~. n . �� <br />r l <br />�........ _l1'...:_. .................has been received with t la app�pliccattiio <br />... ........_.,..............._......................... <br />Superintendent. <br />The premise, are to he used its a ........................................... <br />The owner of the premises is .......... .......... .............. ......_.... ...... ........... .................... <br />The agent is... .. - - .... - <br />untilTacceptedibytithe Superintendent of the Mukiltco ot lie binding District <br />Signed...... <br />omit. <br />:........$y......................................................... <br />Superinfendenf <br />