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- (�: � .i.. � �1 . ' . . <br /> �9.U.i',.n.�1 v.nu-. I:.itcn.—G-.^G::4 • - ' , <br /> Cit,y of Everett�--W�lter Depai�tment <br /> APPLICATION FOR WATER <br /> P 11 Flnnla; mm�t Le fJlcd in or crosecd out <br /> ' _'_--; J <br /> 1?vcrclt,._.....:...�,:../,:_ .:.'._.5:.. ._........._I!)2.�:. <br /> T(i 'fllli SUI'ECINI7:NUl{NT �lF THF,`1CA9'I;R Uf:PAliTh16KT: <br /> CITY OF P•.VGRIiTT: <br /> I Iirfel.)� Cppl}' fnT lhe usr nC�vuter in ii��;nrdunre �rith tLe rulrc nnd regu' <br /> I:.Cons nf thc Nnter Depnrttnrnt, fur pmpns.es m;J fi��nrra ;tr.ted Lrlo�c. <br /> lluring thc limc thnt nny of thc water mi�in= muy� hc tnken up Ly �rn+on <br /> uf nnr iu�.pru;ements nuq�urizeJ Ly thr Ciq� of !:ccrrit. �n oc nf nny nlrcet nr <br /> nlley in whi�h '.hey may hnre brrn ImJ. thc City will nol Lc required lo furnivh <br /> o�:itur during thr prugrc-s uC Furh imprnvrmcule la nny con��mer w�l:��sc aupply �� <br /> m:.y Ihu.r Lc ;ut ��ii, urybc IinLlc fur :my dmm�ges tor itv fnilure sc lo Ju. � <br /> A��pl�celi�nNo, p,S..3� („4�6 � <br /> Bloilc. .��.��J J� ._ I.nt �)��n _ Add. <br /> No... ...����i QJ CG!/"�i �.. . . . . .Street .. <br />� .. . . . . .. . . . ._.. . . ... .. ._..__._. . . .. . ... .. <br /> 'Ihc r�ork to b� exeruted by ���/y��u/> -t _Plumber <br /> Rlnte xize of lop /5 �_— <br /> ..�/!.-.::Tup to be (nscrted in the mnin. <br /> .. .(... ....R'�,t�r clnaet <br /> ..._�..........3nth . �' <br />' .: ... Urinxl . <br /> ..-L�. .._Plnin inucrl (nvide <br />�'�' .._._.........Sidc �cnik wn�her <br /> ..-.�......._Iloae bib oulaidc <br /> .._'-:.�....._Ilosc bib ter buil,!ing pm•po.si�a <br /> . .:..:.......Hnse bib insidc <br /> .--..._._...➢ib fur slnLle coutr.ining..._.......__....::tnll.... <br /> .-...:..-....Nunibcr u[ pprsons In fnmily . . ....... . <br /> �-���. ...Num6cr of rooms in huilding <br /> The pr�miees arc to be used as u. ���� • <br /> 1'he uwnrr at lhe premises �n �%-J��s,t.c/i �� _ . . .._ .. <br /> J <br /> The nqent is....... .. . ' <br /> .. .. ._... ...._. _ . ...._ .. <br /> ....______... <br /> This npplicntian, although eign�d, chnll not be LinJing u ou.�c..Cit.....unlil <br /> ni•cepleJ by the Superin � rt uh�he R'n!or-D�{wrtmont, � � Y' <br /> . �IT <�J' --� , ;� <br /> �7 / ( t� / <br /> Signed.- .L- -...u./��..i ` 7 <br /> /� r �i.rsws/t�nn� <br /> Aceepled. //��.:��_lp2�v By. G�L��' �i <br /> ( 7`i'- Supi�nntrn�rnt.._\ <br />