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��R- �-��-�6- �?-f . <br /> LV.�.Farm/-1Gao—E.i'.Co.-68G-:� <br /> `;ity of Everett�Water Department <br /> _ �L1CA'�1'ION FOR WATER <br /> .tll Llanks must be filled in or crossed out <br /> _-- � <br /> : r_ ...192...�: <br /> /4............... <br /> ��•����u............... .�..... . .._ ........... <br /> TO T14G SUPERINTL•'NDEN'C�OF� � �����TP•.R D•PARTiliENT: <br /> C1TY OF EV�I2ETT: <br /> I licreSy nPP�S for the use ot water in accordnnce��'ith the rules mid regu-. <br /> Iutions of tLe R'ater Department, for purpo=es and tistm�es stateS Uelo�v.renson <br /> During tlic lime that ung oC tne ��'ater mnins mnY �e tnken up bY <br /> n11 vnin�whi li� thc��may ha�e UecnYlaid, hc}C ty �vill no't�bc�required5totfurniqh <br /> wnter duriug t1ro P�'ogress of such improvements to nny consumer wl�ase supP1Y <br /> m�Y thus Uc cut oCf, or be liable for nnY dmna6es fo�is �il�ure so to do. <br /> ApPlication na._.��1�.�.............5�515 .. ., �� <br /> . �.:...:.:.... <br /> s�o�x..................._............,...... Loc...................._................. naa......::.:'......':.'........ . <br /> i ........str��c <br /> No.... .... �.�"-......... ... <br /> /�.0.1........_.. <br /> _. <br /> ....................... ................................... <br /> TLc �voric to be exec���ed Uy...�..��.........._...���-....... Blumber <br /> l_'��=. - <br /> slatc sizc of tnp. � . i , . <br /> ,_,/��Tap to bc inscrted in thc main. ! . , � � ` � � ~ I <br /> , { i <br /> ._....J.......Watcr doset . �:. 1 4 j�96 . � <br /> ........�.......Bnth � . F�"�rTi -:�li C.:,i <br /> ,,.. <br /> ....._...`......Urinnl � .....................�i � T � <br /> ,,y�:................... <br /> ....,.�:.Plain fuucet insidc ;� <br /> ......._—:..Side n��lk «•nsher <br /> ........�....._Iiase Uib ouCside - <br /> .........--...Iduse Uib for building Purposes <br /> �...Hose bib inside <br /> ........... <br /> -.-...Dib for stnble conteining....................s[nll.................... <br /> ......... <br /> .,....._—,..Num6cr of persons in family <br /> ...,..,,��.....Number o[ rooms in building <br /> ,� � ............... <br /> The nremises are to be usc° us n............ �� <br /> .. ... .............. <br /> ��:_�����.... <br /> The o�sner of the Prer.iises is....... ... <br /> � . ..................... <br /> The ngent is......... ........................................................... <br /> ............... ... <br /> This npP��cntian, nllhoUgl� ^!qned, aliall not be binding upon the City, until <br /> accepted by the Superintendrnt o th \1'nter DePurtment. <br /> � ���: �/� � plicant <br /> Signed.,(i/"�. .../...� .. %`'/ <br /> y� �9-.........19?l/. HY......... . ... .. '�"'"�"�....ntendent.../ <br /> Accepted........�•..-� ..... �� G <br />