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1 <br /> �� E_x_�_l -�-�-� - �- s-�--r_,r <br /> 'w:n.F��„1-�soo-Er.co.-�.zs-z� . , <br /> City of Everett���T�ter Department <br /> APPLICATION FOR WATER <br /> All blanlcs must Te filted in or c:ossed nut <br /> ✓ <br /> I3cerett......................:.......�....... ....�..._........102.�-.l.. <br /> PO TIIE SUPERINT�NUF.NT OF TIIP R'ATF.R D�n1ENT: <br /> CITY OP EV�RLTT; <br /> I herrby apply for the use of u�ator in acccrdsnee a�ith the ivles and regu- <br /> lutions of thc R'atcr Department, for purposes and fiztures stntrd bclow. <br /> of nn}nmp�rovemm��te nuthorized byttheµCity ofnF,�emtl, n orkuf any�bt ectsor <br /> alley in n-I;ich ihey may ha��e hzen lnid, Lhe City wiil not be reqnired to furnish <br /> - water during the proqress ot Fuch improecments to eny� cnnsumer w�}�oae suPP�Y <br /> ❑my tUu9 be cut off, or be liu/ble for any dumuges for ils lnilure so to do. <br /> Applicalion No...._�.r�....C7..�............. -�1�t.e��L <br /> . <br /> Glock.................. '�.5....... Lot.....�j�..,�.�....... . Add.. <br /> ................ <br /> . __._.._....._..................... <br /> No....�.I��... � .�_G�.... . ..Street <br /> __...... . . <br /> ...._.. ._.............._...._....._..... _................... ....................................... ....._.............................. <br /> Tlic work to be executed by ..._...... PlumLer <br /> . ..... .. .. <br /> � .................................. <br /> State eiz� of tnp. �{J LG �C-�7. ,L� .� . L� <br /> ��✓7.� � <br /> .�/ .Pap Lo uc inserted in !.he main. � <br /> ..-._.�..Nxter doset - <br /> ................B n t h � <br /> Urinnl ��� <br /> ................Plnin fnucet insidc �' <br /> ................Sidr, wulk washcr <br /> ����............liosc bib octside <br /> ................I3ose bib for builJing purposes <br /> ................liose biU inside <br /> ......_........Bib for .^.4�bie conLeinin .....stall... <br /> g.............. ............... <br /> ��..............mm�ber of persons in fnm.ily <br /> ...............Number of rouma in bvilding <br /> 1'he premises are to Le ueed as a � ._. ���_ <br /> _-- <br /> "hc ��cner of the premises i�,_Ly,yr�. � <br /> 1. �.. >.�,.,�-�-._. <br /> ,t �9.............................. <br /> _....._..._................................... <br /> ........ ............ <br /> 'ication, alihotigh si�ned, ehall not be binding upan the Cit , <br /> r Superintendent o the \xntcr%Depa tment. Y unti] <br /> —7�.J -- <br /> ned....../.I..:1..N._... �.......� ' - — . <br /> � � • / <br /> 1 .................. . � <br /> �_ ...........................l.APPlim <br /> • - /• /, <br /> t........_'�.... ...13Jg�.. Dy.....�.ifil,��✓,�. <br /> � / !1P � ent... <br />