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, .:;. �./,, r� � _, �e . �.,��,,....6 3— q— �� /�-„v <br /> l5'.p.f.�rn�L IRno.-F:.P.fn-c.^fi:1 . � . <br /> City of Everett�Water D�partment <br /> APPT ICATION FOR WATER <br /> All binuks muct Lc filled in o croaxwl out <br /> Everett.........�..��..�_�. ..............1 D2...... <br /> ._........_._.. <br /> TO 7'Ilr SUI'f•.RINTP•.NDE.�'T OR TItS {1'ATh:R OF.PARTSIENT: <br /> . CITY OF SVF.RI4TT: <br /> 1 LrreLy nppl}� far the usc uf tt�nlcr in nrrord:m�e aith the rulrv nnd tegu- <br /> Intinns o( the 1{'uter Unpnrtmont, for pmpo�es imd [ix!urev atnted Lulotc. <br /> During Oic limc thnt nny n( thr tt�;der mnin.a mny be ldkan up by rrnson <br /> uf unl• im �rucrments nuthnrizrd 6y the City o( 1•;errvlt. In or of nny etrpet nr <br /> nllcy in w�ich thry mny hn��e Lren Inid, Ihe City will �mL bc required lo furniah <br /> a•ntcr durin� lh�� prugress uf xurh imprnv��mentc tn nny cnn=umer whoec eupply <br /> mny thue Lc cut off, ucr/he IinLlc In� nn3' dmm�grs fnr its fnilurc eo lo da. <br /> Applirnhon No._.p J��_ , <br /> Block.. ...... o fi � I.ot..... _. <br /> . .... .... . . .._ _.. Add. . . _. : . <br /> �) . . . .. _. _.. <br /> No..��Z•aZ� _�� .C.F.GCca.t. .. _.. _..3treet � <br /> �:� �r �' -r <br /> . ... . ... ./.... . __. _ .. . .. <br /> i _..__� . ...... . _ _... <br /> 7'he work to be executed by. � �� <br /> � � � -- _. .Plumber <br /> Slnte s(ze of tnp. .�- , r <br /> � -- a "�w.-K �.�n ; <br /> __........Tep to be Inscrted in d�e mnir. x� , <br /> ._.............R'nter clonet .' L '7 �- �'/!.<<w- . <br /> ................IInth .�1.(J� 4 a �3 � � <br /> � -�G <br /> ._.............Urinnl �u�, ,],'� <br /> ...._.........Plnin Inucet inside <br /> ...__.........Sidc wntk wnshrr <br /> .--...........Ilosc Lib ouleidc <br /> ........._..._Iloae Li6 tur builJing purpnsrn <br /> ................linse bib Inetdc <br /> ................Dib for slnLle mntnining......_............elnll.... ' <br />, ._......�... <br />� --............NumLcr of pernona in fnndly ��� 1 <br /> � �....-...._NumLcr of roomn in builJinK �" <br /> The prem(sca nre to be ueed ne a_ . <br /> ... . . _. . ...._.. <br /> _.._....._ .. <br /> _.._. _ _...... <br /> �e owner o[ the premisen in_.... .. <br /> . . _ . .._ . .. _...._.. _. . <br /> _. . <br /> � '^ �—�nt x........__......_........ <br /> ._........._.. <br /> . _..... .__. .. ...__. _. . <br /> ......_. . . <br /> ...... ................ <br /> p'icntlon, ellhoufih nignrd, shnll not be Linding upon the Cit��, until <br /> y the Supertntendent u[ the R'qMr llepnr�m�nt.� <br /> __ ' f , <br /> .,i!',ned�._ . . .. ....1 w1�� _ _-. :.r . .. <br /> - �nru�A�c <br /> h . ...���102.. .. Dy ' � / <br /> ) : <br /> y _ _. .. <br /> � ,R�tenJent <br />