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q.,i.��Jo-�7w�C t �i P - . • . . . . <br /> - ..c�,•._ ��_�. <br /> �w,n,r���:��- �cno-s.n��.-s.za s� � • <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> All Llnnks mu�t Le filled in or cro�ned out <br /> / <br /> �) .,�� , <br /> Tvcret t.........._.........cJ.�...P�...�......_.._............192_... <br /> TO 77IP SUI'T•.RIN7'GTUENT nR TfIF. R'ATTfR DF.PAIiT1fEKT: <br /> CITY 0[' EVF:RETT: <br /> 1 hcrr63' npply for �he une of�rntrr in n��cord:mrc �rith the rulrx nnJ fegu- <br /> Inliana ot �he Rater Depmtment, inr pmpn�ry nnd fixinrre ntn1�J Lrlo�c. <br /> P;�r;ng the lime tlmt nny oC the �e;der mnins mnp hc lnkrn up by �ennon <br /> of nny iiulrrnecnicnte nuthorized by ihe Cily of F.��orvtt, in nr of any atreM nr <br /> nllry in �ahirh they mny hnee bren Inid, the City wi11 nat bc required to furnivh <br /> a�nlcr during lhc pmgrnan uf xurh Intprneements lo nny cnnnwucr whnse supply <br /> m,iy thuv L•r rut nf[, oCr Lc'l/inLlc tor uny dmm�grs for Ita fnilurc au to do. <br /> nppucnuon No._.0'LY., <br /> .. ......... <br /> ISlock..._��1. ..... _. I.al l ' � .. .. Add.. .. . <br /> /� _ . <br /> No._...� �0 � . ._/e.4.�._. . ...__..9trcet . . . <br /> .. .. .. ._ . .._......... ....___._. ._ . <br /> .. _ ._.. .,,�.. <br /> ._. _ . .._....... <br /> 7'Lr wark l0 6e ezecuted Ly (r .a,_. .. plumLer <br /> Stnte eizc ot lnp / � �- '' <br /> .-.�2.......Tnp to be ineerted In lhe nmin, '� <br /> _...�.........�t'atrr elnset <br /> ..�.......Ilnth <br />� .....�-.....Urinnl , <br /> ....L......T'Inin Inucct Inside � <br /> ......�-......Sidc �rnik tt�nsher �",l.-. - I <br />' ....Ilnac bib oulvide '�' <br /> ._f.._.. II <br /> .. �-:.......iloae 6i6 fa[ IruilJing purpasrs �, � <br />� � .._�.:......Ilnxo 6ib inaide J� <br /> .._�,.......i3ib for etoLle cnntnining.....__...........etall....._............. 1 <br /> ...L_ ......lumber of pereons In tmelly <br /> ..�.......Numl�cr ot raome in building <br /> i <br /> Thc premisea arc to bo uaed ns a .�. . l.l� . <br /> .. __... ....._......_....... <br /> The owner ot the prem(ees Is._. . � . p���. <br /> .....__..._.. <br /> The ngcr� Is....__.._._............ <br /> . ._.._.. . . . .. <br /> _ ._ ._._.. ..............._....._.................... <br /> Thin npplicntinn, nithough e(gned, ;hell not Le 4(nding upon the Clty, until <br /> nrcepted by (he Suprrintrndent ot lhe Nnter Depn�tinent(. � <br /> SI�neJ.�........�..i!/�....�..�. �Q�+'�I_L(L <br /> Ap ant <br /> Arcepted.. .. /. ._....... .. 190_._. Dy . <br /> �'(p '� . . .. . <br /> .. . _... .�,. . <br /> . .... ....... <br /> rintend nt <br /> `�" -_ <br />