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. �4��� :�,ar ��,_�>-t,-„ . <br /> . . _ y� <br /> �a.n.�•.-a�-ueo-�L.r.co.—s-ss-za <br /> City of Everett^-Water Department <br /> APl'LICATION FOR WATER <br /> A11 binnks must be filled in or crossed out <br /> Everett............... .... ......._.. .. .....r..r...................���..5 <br /> TO TI3E SUPGRINTENPL•'NT OF T17F. ATF.R DEPARTTfENT: <br /> CITY OP fiVERETT: <br /> t t,o«t,y �nr�� Snr the use of waler in accordance with the �vles and tegu- <br /> Intions of thc R'�.�:r Acparlment, for pmposes nnd fixtm�es stated belo�v. <br /> During the t�.v r Ihut an}• of Lhc watcr mnine may bc tnken up Uy rcason <br /> of anp i�nP*oceme• -� uuthorized by the Citp of Ecerett, in or of any street or <br /> nllep in uhich the}� mny hace been lnid, the City will nnt be required to furnixh <br /> Hmter drri�,g tLe ��ngtess of such improvemenla to nny r�nsumer whose supply <br /> may lhca le cut o[f� or be IiaaLle for any dnmoges for itn fs�ilure so to do. <br /> Ap��iication T�'o......_g..���.._O_'�.......... ` , ,�.F��.:._. <br /> Block.................../..�......�........... Lot..............................._....... Add.._._.._ ��'ii'�.j> . <br /> . ......_.... .ti...�.._..... <br /> T o..�.��../....1!o/J'c-4'"O•.f�-!r'�...........5 treet <br /> ......__..............._.............__........................___...............:............ . . ............._..................... <br /> TLe work to be executed Ly......__..._....... .i....__ ;...-�y+/j—� ...`. ...._�Pl�ber� <br /> �/�/, , t e s�zc of tap. V (,e e � <br /> /i �.��...Tap to Ue inserted in the mnin. �.t � a 3�� <br /> ....�.........R'nter eloset <br /> ..........._-B¢th <br /> ................Urin nl <br /> �� Plain taucet insidc � � ' ' � � <br /> ................ .; . , . <br /> , l �r�-.�d _ <br /> .._�.-....Side tralk w�aAher � � ." .. . �� � <br /> � ....-.---..Hosc bib outsidc ' .�I!,I, i : �C?�� '"'� �. <br /> ..... ...... . <br /> . Uib for'atnblebcont'mningr oses.........etall.....L.�, l�'.'.:. : 1...;''i <br /> BP P _. , � ,.. <br /> ..._�_._Iiose bib inside -......... . - - - . .. . <br /> ................A'umber of peraons in family . <br /> ..._�c.......Number of zaama in buildins�' """""J`.-7"G�-�� � � <br /> The Premises nrc to be used as ..�4. _... . ... ' �..".�.`.rQ-q,�`` <br /> The owner of tBe prernises is....� ��..�_ _.. . �� .. .... V � <br /> ThcngenL is.....................................��....�.�../.................................................................... <br /> This opplicntion, ellhough signed, ahnll not be binding upon the City, until <br /> nccepted by the Superintendent of Lhe tiVnter D arlment. <br /> Si ed....�.:.... . . / .... .......t�f7n� D ''%A't�p' <br /> . <br /> C..: �,�•..... _ � <br /> �.ecepted....��..��......:.......192_� ._ BY._.. ...:.�.,�,_L„�'...... .. ..ell�'.�e--...... <br /> e�dent <br /> i/ <br />