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, i <br /> ��I <br /> � <br /> u I <br /> �--�a s-�v-:as �., �.,r.z��.�� r- 1 <br /> w:n.eo.�o i- isoo—e.r.ro._6-zes� • • . <br /> City of Everett--�Water Department ' <br /> APPT.ICATION FOR WATER <br /> All binnks munt he filled In or crossed out <br /> 6:vcrett.............j���.f..:LS .._.�.�C..... . .. _. . .....1D2J.. <br /> TO TIIE SUPEI2INTENUGN9' O$'TII�'l1'ATf:R�F.PA[tTniP:Kf: <br /> C[T1tAF'"T•.V F.R[iTT: I <br /> 1 Lereby npply Inr the u+�� o! w:rtrr in nc•rordnnce n�ith the rulon nnd rrgu- <br /> lutiunn of 'hc �5'uter Ucpnrtment, tar pm po=�s imd fis!ureF RlplPtl INQnN'. <br /> llu�.ing thc time thnt nny <�[ the ��vdrr mnins mny be lnken up Ly rrnnnn <br /> o[ nny inpravemente ouq�n�iuJ by the Cily n[ F,ceretl, in or nf uny ntrert or <br /> nllry in wh(ch �hrp mny hnvc 6cen Inid, thc City will not bc requircd to furnish <br /> wntcr d���rtng thc pragresn u[ nueh imprnvem��ntv to nny cnnsumer H'IIU9C s��rNr <br /> nu:y th•�+ 6c eut nf[, or be linble for imS dmnnqca tur iln fnilm•e eo lo do. <br /> Avpltcntion No.._.��.�_Y____... <br /> [31ack............. !._.. _. . ...... Imt..._. '... '' _.. . ... Add. . _..... .. <br /> n r�.. .. ._ . . . _ . .. <br /> No_. _ .,.t .d�J �_..�-_.��4 C�CS-:_L_ .._.. .._..9treet . <br /> _. _.. _ .._ ._. __.. ....__.. __.. <br /> . . _. .... ...._..........._. <br /> Tht work tr bc exceuted by ..� (� C�.`" , <br /> .....Plum6er <br /> / ��• —�u <br /> Rtttr aise o[ tnp. /' �,S — � <br /> ..�Z..._.Tnp to be Innerted In t tnnin. <br /> ..._f......Nalcr cln�cl <br /> ._._ <br /> ..._........_.Dnth <br /> .. ..`......Urinel <br /> ..._�_'._...Plnin fnucet inside <br /> _._ _...._.Side wnik �,snchcr <br /> _...� ......Ilose LIb aulxidc <br /> . ...'_.....ilaae LiL fnr Luildin6 Purpasrs 1 <br /> ._.._.:..__.liose Lib Inr.lde <br /> .......__..._liib for etuLlc wntnining..._...__........ntall...__............. <br /> ..-.__.......NumLrr of persone in inmily <br /> �� .NumLer of rnome In building '� <br /> ._.r...... i . <br /> The premfsee nrc to be uecd ea eq — ._ L ,./y, ., r ` .. ...... . ......... <br /> 'Phe owner ot thc premiaen ie....�Jo. .cr��i7�ny�. ;.9..�,y�«��� <br /> The ngent ie .........._.... . ........_.. _.. _.._.. . .._... <br /> __......._........... <br /> Thin npplicntlon, elthaugh signed, nhnll not be binding upnn the Cily, until <br /> �rted by lhe Superinlrndent af the Nnler Depnrtmcn!.. <br /> Signed,�._C��...Y..�<!�!"`^!��..'_.......�pplicant <br /> _ <br /> 1 <br /> _`:.�..".L.�....19R:�. Qy�. _.... _�t�/�....2�r�....... <br /> � � .......... <br /> ' yS��)P�It1�C11dCI1� <br /> � <br />