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tqlD ID-RO-<r -r[I. <br /> it ) <br /> -t�✓c� ���I:. i-�J� ��'Y�1/ <br /> ���.n.r�:�:,a -r:�o_r,.r.co.-s-zc-a ' . <br /> City of Everett�--Water Depai�tinent <br /> APPLICATION FOR WATER <br /> All Ulatil:s n:est Uc fillcd in or crossed out <br /> E�•crctt�....._......:/��.���......_.._........1�2...... <br /> TO TI�E SU^ERINTLA'DI;\'i (lb' TIi1; R'ATF.P llEPARTDIENT: <br /> � CITT OP EVE221iTT: <br /> I hereby xpply for t6e uc� nf n��ter in nccard^nre trith Lhe ivlrs nnd tegu- <br /> lutione of the Nater Department, for t�wpure; und fix:ures a�ated Lcic�v. <br /> . Uuring the time thnt m�y of lhe ���ater mains mny be laken vp Uy rcason <br /> of nn}• iu:provcments auUiorized by thc Cily of S:erctt, in or of nny sLrcet ur <br /> allcy in u�hich ihey may hnve Ucen lnid, Lfie City will not be required to furnish <br /> • «•:.ter dm�i�;; lhe prugress of fiuch iniprovements to any cunsumer whose suPP�S <br /> m:�y thus bc cuL of�, or Ue liabtc for any dmm�ges for its t:iilure so to do. <br /> Applicntion No.._.�(�..5^ <br /> 1 y .. <br /> Blocic... d...!..� Lot !..'� __ ...... Add... _._. . .. ..._ _...... .._. <br /> �q3a � <br /> IQo.. . . __. �.�� _..Street <br /> ......_._ ._ .. ...._.... .................. . ......._ _ .. ._ ............ .... . ..__. _..._... ............... <br /> TLe �vm�k to be ccecuted by.... ______ _ ___. .. ._ _ ... . .._. ._..__...Plum6er <br /> S(nLe eize of tnp. <br /> �/�...Tap to Uc inserled in the mnin. <br /> .....��'nter eloset <br /> ....�.........Bath <br /> . .Ly........Urinnl <br /> . .�.........Plain favicet insidc <br /> . Side �calk tvnshcr <br /> _ _. <br /> .._Hosc bib ouLsidc � j <br /> .. .. . .... .ftosc bib for building purpner.s /1��� ,J . <br /> . Aose biU inside �7�T <br /> ..... ........ <br /> .... . Bib for stable containing....._.............fitall..............�S� G <br /> ....1�..._...A'umUer of persons in faroily �.(J G � <br /> .....y....NumLcr of raoma in building � „$� <br /> The premises arc to be used as a. . . _. _ <br /> �j � � ...__.._........... <br /> 1'he o���ner oi the premise:� is......U.l�l�(J ,�/ _.. . <br /> ..... ...._ . _ . ... . <br /> The a,gent is..... ..... ... . ._f . __. ._ . <br /> .. ...._ . ................... <br /> This applicstion, nithough s ned, rhall not be binding upon the City, until <br /> 'ed Uy thc SuPcrintenJen oC thc \Vn�er Uepnrt t. <br /> Signed�.y........_. ......._�/.//+....... � _....0.../. p cnnt <br /> �� -�Ap li <br /> . �. ......_]02.l... By_..J�- / <br /> / ��.... <br /> ���� D .................... ' <br /> . � d rintendent <br />