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i <br /> ._��. ,, <br /> __.____.._-.- - <br /> . ...__ <br /> _. .,.i._.::i �,,,,o—L.p.�o.-6�,6-=, � . .- ._. <br /> City of Everett�-Water Department � <br /> APPLICATION FOR WATER <br /> pll Llanks mur�t be f:iled in or tross,ed out <br /> - rl� 1 ^ <br /> �verctt............................. . 1. `t... .......102�..`. <br /> ........ . .. . <br /> TO THE &UPERINTISNUENT OF TAF. R'ATF.R�EPA�MENT: <br /> CITY OF EVERETT: <br /> I hereUq aPP�Y ��r t6e uwe of water in acrordunce with ihe rvlr.e nnd 7egu- <br /> latione ot the Water Depe•tment, for pu�T��Fee end fix'.uree atnted beinw. <br /> Durir�g lhe time th� xny ot the wnter meina may be taken up Ly !eneon <br /> of xny improvemente eul�.arized by the City o[ Evcrett, in or ot any etreet ot <br /> sllrc in a�hirL they m1y he��e been leid, Lhe City will not be reqvired to furnie6 <br /> ��-.I��r during the Progrese of Ruch imprnvemente to any connamer whoee eapply <br /> u,..y thue bc cut off, ur be Lyble or uny damegen for 3te failure eo to do. <br /> :lpplicelion No._....�_Q. 6..�............ , <br /> ........ Lot.__.. __._ ..... Add. ._ _. ._ . ......... ..... <br /> PI. .Y. _� . . . _ . <br /> . ._....... .9treet <br /> .� � _ __ <br /> �{—^ r...h� _.... .. ... .... <br /> _�._y-v.f,.�.J� u <br /> 7'he work to be exciuted by.._ .... .. .._. .. __._.... .. .F'lamber <br /> Stnte ehe of tnp. �'y/� . <br /> �� V <br /> . �.. .....Tap to be ineerLed in the main. <br /> ...............Wa!er cloeet �� ej �,� n- <br /> ! ' <br /> . <br /> ....... <br /> .........Dath W'� � �.� <br /> � <br /> . ... _ _...Urinal ' I � $� <br /> ... . . . . ..Plein feucet ineide � � . I_� � <br /> "f � <br /> .....Side a•nik weshet ), }� b�p� <br /> �f <br /> _..-2ioee bib oulelde <br /> .__...Aose bib for Luilding PnrPoses � �'� <br /> , _...........Hane bib ineide <br /> ................Bib fot etab]e conteining.........._.........nGill.................... <br /> ................Number ot pereone in Snmily <br /> ................Namber of roome ia Loilding � <br /> The premieee ere to be ased ea e... __.._ _.._................ _...........__............_.............. <br /> 'fhe owner of the PTemiaee ie......_....__...._ _..._, .. . . . _._................__..._ . ... . <br /> 7'he agent ie....................... ._._. ._. ._....._..._...._...........__. .. . <br /> ........_._......__...... <br /> Thie applicntion, elthovgh eigned, nheil not be binding upon Lhe C[ty, untd <br /> �l� 1 }�y the 6u e ntendent o[ Lh2e Wn`er Depertmpe�n.�t. <br /> SiBned�J$7�1�...'i��'b�Gb...�'ru.�.�l�����`p . . ..... Applicunt <br /> . . �{�h�AawG����r�. �'" <br /> ,�,� .._ ifl2. .. Y� •:... . .. . _.. ._. ... <br /> .. � �3' �r <br /> �- Zff ��0 �� •n{ F�(/,T m �nd�fit <br /> � _ v i <br />