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�t='kSd 2—�e,—2 C F.-.�.-�. �� :— ., :,�, rv. . <br /> 1 <br /> Pi f).Fnrm��-IG(IU—E' .Cu:-6-56:� <br /> City of Everett�Water Depai•tment <br /> APPLICATION FOR WATER <br /> All blor.ks muet bo tilled in ar crosseJ out <br /> F�•�T��t,...... ..._ �/ _ .....���.4 <br /> PO TIIE SL�PERINTGNURN9' OF TfIR lV:\TI•:R DEPABTMENT: <br /> C1TY OF F.VG41iTT; <br /> 1 hereLy npply (or the u;c of w�ter in �ccnrdnnce tvith the rulce �md rrgu- <br /> lutions of thc Nntcr llcpurtmcnt, tor pu�pus��e nnd [ix'w�cr .rtnted bclaw. <br /> During Ihc tfmc thut nny o( thc watcr tnnina mey Lc tnken up Ly rcosun <br /> of nnv iumrovementx nuthnrixrd by t1�c City o[ F.��crett, (n or o[ nny ntrect nr <br /> nqey in w�dch �hcy mny hnvc been In�d, thc City will not bc rcquired to furnixh <br /> watcr dur(ng LLe progrens of nurh impruvem�nts to eny conemncr whosc supply <br /> m:�Y chux Le �ut off, ar be CuLlc tm� uny dmm�gce for :ls fnilurc eu to do. <br /> ApPllrnt�un No..���.�-���. . <br /> .......... ....__...... <br /> � <br /> Qlock.........._. ........ i.�..:)..._... Lot...._..:...�..:_ _...... AJd. . .._. <br /> y� ._ . .... .. _ . . . . .. <br /> No..__.. .�:7 ZZ- . !/"J FS.r,'LR-�.—......_Street ... <br /> _ . ..._..... ... ....._ . . . _._..... <br /> ........_ __....... <br /> � . ... .................... <br /> Tha work l0 6c execuWd 6y __ p--C �y . ...Plumber <br /> SWte eize of tnp c� 'j ��'� <br /> �.�2....Tnp to be tnsarted in the mnin. �`i i � <br /> 1 ° r\1 <br /> ..../..._...SVatcr clos�.t �,., •ltiy� � I y � <br /> i � � <br /> /.........uocn F f :� ;; . ���,� , . <br /> Ur(nnl CIl-V p - .�) �`� <br /> ... <br /> � F EVc�i IYn)cir p.�p�l <br /> .---.e.Z......Plain tuucet InsiJc .....•.......l, <br /> r�................... <br /> .-....-.Side w�nik wuehcr // . ....... <br /> .....-.�......flose bib oulaide ( <br /> ......._-:..Hoeo Lib !or buildinH Purpnscn <br /> .._._... ...Iio�e bib inviJe <br /> -- <br /> ................Uib tor etabin coutnining....... ............ntrll.... <br /> .__._.._.... <br /> ����.... ....Number o[ pc:•none in tnmtly <br /> ...�_11umLer of rname in butlding Y <br /> � T��� o!emiecn arc to bo uecd ns n� _.((/..�� ' <br /> ^ �. . ._ ... ._ .��6-f" <br /> � ��u•ner of xhe premtaes Is. . - <br /> ' " <br /> ; � ngent te..................__......_....._..... ..__._.._.. . <br /> . __........................_._. .......Y,.......... <br /> " � nPP��cntton, nithouqh xigned, nFa!I not be b(nding upan the CIl undl <br /> by the Superintenden a[ the Wu'cr Depnriment. <br /> � r . <br /> SignPd...�..... �//r,,..��!'!/�4,t.y� cent <br /> . . . ...... AP li I <br /> A�cr ,vl......�.�..�.,../.._......10� Dy. . <br /> ' �p . .. ... .. . . <br /> _ .. .... ......... <br /> �� �� urtenJent <br /> � f <br />