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/I1 / Tap NIL.Iv <br />KILTEO WATER DISTRICT <br />SNOHOMISH COUNTY, WASHINGTON Ejl S <br />APPLICATION FOR WATER <br />All blanks must he filled In or croased out <br />Nukllteo, Washington ...... .... ,.......... ;.�..�....�.... ................. 194........ <br />TO THE SUPERINTENDENT OF THE MUHILTED WATER DISTRICT: <br />I heruby apply for the use of water In accordance with the rules and regu- <br />lations of the awl), <br />Water District. <br />During the time that any of the water mains may he taken up by reason <br />of any improvements authorized by the District in or of any street, mad or <br />alley In w�ich they may have hcen laid, the Ilist riot wlll not be required to <br />furnish water during the progress of such Improvements to any consumer whose <br />supply may than hr cut off, or he liable for any damage for Its failure so to do. <br />Application No ........................................... ...+..,�— <br />.t ,• <br />Block_....._n_.._.......................Ay�°t....s.............._......... Add......... <br />No............70.S.Q.-._173.........,5 r.StJl�............................Strnt ........................... <br />•-t <br />11 <br />........._; L ................. .............. <br />`` .?. <br />State alw of tap: ..... %.•.......... inch. <br />i� C. <br />f...... :...... t................... has 1s .n received with this application. <br />.......................................................................................... _ <br />1. Superintendent. <br />The premises are to be used us a ........................................... <br />The owner of the premises is ............... <br />Theagent is .......... ...... ........ ............... ................ ..... ............. ....... ..... .......... .... ....... ..... .... <br />This application, although signed, shall not be binding upon the District <br />until accepted by the Superintendent of the Mukilteo WaterDistrict. <br />Signed...... <br />..........Owner. <br />..... Agent <br />Accepts& ........ _.........................................194........ By .................... _......................__._.. <br />Superintendent <br />