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'_ . .� i ' I ' � / • i� i ' . <br /> !� <br /> N'.11.Fnrm 1— is�in—k:.P.Cn.-6-1f31 '� <br /> City of Everett-�Water Depariinent !-� � . <br /> APPLICATION FOR WATER <br /> All binnks must Le tillrJ in or crosscd uut <br /> Eecrclt�..........__..0 . .l.,l'�_.�.�... ......_.192�. <br /> TP TII[s SUP4.CINTENUii1�'P Or Tlli•: ICATIiIi DEPAI:'i'?If:N'h <br /> CITY OF G1'TI2GTT: <br /> I 6ereby npply fur the uee i�f �.rr.ler in uecr,rd:mcn µ�ith the ndra nnd te6w <br /> lationa of the Wnter Depnrlment, tor pW�pn�ca xnd tizlurr� sintrd Lvlua•. <br /> Uuring lhe time Uinl any o[ th�� wstrr mnins mny be tnken up Ly rrnson <br /> r.( nny im rrocementx nuthorized by the Cily ot F.;crrlt, in or n[ nuy atreet or <br /> iillry in w�(eh they mny hn�•e hecn Inid, thr City a•ill not he required ta furninh <br /> woler dvring Uie ���o�re,4 of Fuch imprneemenla to qny cnnsumer whon� eupply ' <br /> nu•y thus Le eut nfC,..�� �iql��c�m� ,yny dwna5 a [or itx tr.ilurc eo lo do. <br /> AppHcnlian TIo. 9,�f S� --? /? l :lli�r � <br /> 61nck. . .�../.. ... �y- �t ... . .... Add� u. �Q.. f�... ' <br /> Nu.._..� _7 ���0/�^� .. ..9treet <br /> ._.. . ... .. . . .. . . ...._ _. ._. .,., ... ... ... . .. . .. _ _. ....__...... <br /> 9'hc wmic to be exeruted by. C-� 4.� � . .....PlmnLrr <br /> Slute elze o( tpp. �— ��� <br /> ..��...T¢p to be �necrted In !he mnin. <br /> ..../._....Nntcr cluset <br /> ......./.......Bnth . <br /> .._.... ....Urinal ��/.. <br /> _...Z..,Plnin fnucet inniJe � <br /> ........'.::...Sidc wnlic u�nsher <br /> ....�........ilo.c bib outetde <br /> .__ . .....1Sose Lib (or bulld(ng pur�ioers <br /> .. .�.....1lnse Lib inalde <br /> ......-�....Bib tar rteblc conlnining.....__...........elell.... <br /> .. ... .__ .. <br /> ....`-....NumDer uf peraone In tnmtly <br /> � .NumLz, of roomn In building <br /> _�.... <br /> 7'he prendace nre to be ueed ea n ///''' �� , . ___. .., <br /> The uwner of the premiee� in...� .��. 1.��,i,G�� <br /> _. <br /> Thengent in... . ................ .........._ .. ........ ...... . . ......... ....................._. <br /> Thie npplicntlan, although nl�ned, nholl not be binding upen tho CIty, undl <br /> nccepleJ by the Superintendent/ot� th`q�/Wn1t/ De nrtmrnt. <br /> 51Ened..�.. ....1.7..�.Ii.L.1����f�':��1..�.�-�"V_�.--�........ ............Applieant <br /> y. ' <br /> Accrpled . . ........_.. ...__. _.192_ _ Dy.. _ __ . .... ...... <br /> Supedntendent <br />