805 93RD ST SW 2018-01-02 MF Import

v Tap No .... .......... /7 7 MUKILTEO WATER DISTRICT SNOHOMISH COUNTY, WASHINOTON Q3J APPLICATION FOR WATER All blanks must be filled in or crossed out Nlukilteo, Washington.......................................................... 194........ TO THE SUPERINTENDENT OF THE MUKILTEO WATER DISTRICT: I hereby appl • for the use of water in accordance with the rules and regu- lotions of the f�l ukilteo Water District. During the time that any of the water mains may be taken up by reason of anv improvements authorized by the District In or of any street, road or furnish aterhduring he progress of suchave been h improvthe estrict ments tolanytcolnsumerired to whose supply mny thus be cut off, or be liable for any damage for its failure so to do. Application No ................................................. Block........................................ Lot............ ................. Add.. —,�'U_................... ......................street ..........I ...... Na........................................ an....__o......--�y ............................:........:..................... .............s�z .......... .99 3 d State si of tip .... Jach. $(,�.. �. .............has lain received with tills application. ................................................ Supnriulro�dent. The prrmises are to he used as a ........................................ ... The owner of the promises is..... ......... ...... .. Thy agent is........... This application, although signed, shall not he binding upon the District until accepted by the Superintendent of the Mukilteo WaterDistricl. Signed................................................................................. _....... .Owner. ..........................Agent. Accepted....................................................194........ By................................................. Superintendent