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i <br /> I <br /> ; <br /> u-"-� v-4-ie-l� `r_��_cd �1 r, v, ,�„ „ , i <br /> , g' . • <br /> w.n.e���.��soo_e.eco.-c-xes� I <br /> City of Everett-�Water Department <br /> APPLICATION FOR WATER <br /> All bLmke muat bo tilled in ar crosxrd oul <br /> Bverett�.............. � �- ....1D2� <br /> ..... . .... .... ... . .......3-�.... <br /> PO THE'FUI'ERINTF.NDF.NT Or TIIR �141 F.R DF.PAI;T11tE:NT: <br /> CITY OF EVF.RRTT: <br /> I hcreLy npp�y far th� nse uf wnter in nrmnlmice �rith the nilen nnd regv- <br /> ladonn of the Netcr Depnrtment, for pu�peses nnJ [ixturca �.tnted bclow. <br /> . During the llme thnt nny ot the x•nter mnlne mny be tnken up Ly reneon <br /> of nny imp rovementa authorized by the Cil,� nt F.verett, In or ot nny ntreet ur <br /> nllep in which they mny hnce been inid, the City will not be required to furninh <br /> watcr dminq the progrcae of nurh improrements to any ronxumer wn�9� a�rn�r <br /> mny thun bc cut ntt, orpbe linble tor nny damnges tor ita inilurc eo lo do. <br /> AppllceHon No.....l...O 6u - �1�O7 <br /> � �q . .......................... r <br /> Dlock............1.I�aM'............. Lot��C.C..-1_�c......... Add.._.Lt.�-�_cL.-...Cn-... <br /> 7 �-- _. <br /> No....._.�f�....-�.�,.�.....�:.l..vlr�.R1.-L�1��treet <br /> ...... ._ . . ..._ .... .. ....... ... . <br /> .�_..... ./.�......_.... . . . ..... .. . _........ <br /> The work to be ezecuted by�.',J�/.�,yp.�,��r..o� .......Plumber <br /> 7 �0 �--..-_... . . <br /> State elae of tnp. "/ �.v <br /> ��`.'l..Tep to Le inacrted In th�eln. <br /> .....�........Nnter eloset <br /> ......:'.......Dech <br /> .......'.......Urinal ' <br />� ....._Z.....Plnin foucot ineidc <br /> � . _. ...._ _ <br /> ........-......Side wnik Wesher � <br /> ......._�......Flonc blb oulaldu <br /> .......�'......Hoeo bib fnr building purposes <br /> .__.'""......i{oee blb Inelda <br /> ........ ...Hib for ntaLla cantnining......._...........etell......._........... <br /> .......-...._Numher o[ pereone in fnmily <br /> ..._1........Numbet o[ toome in building �j--� <br /> The prendnen ere to bu used ne n.._._...\,/.J <br /> _ ..._.............................._. <br /> Thc owner of the premteen le. .�.f� ..,_..�Q� �t�j2 <br /> The ngent te................. <br /> . ....................................._..__....................................................... <br /> Thin epplication, elthough elgned, ehell mt bo binding upon thc City, unHl <br /> i ,+ccepted by the SuperJntendent at o�Nn—te-r Department. <br /> � Signed...�/,,.�'GT.'c.'�.:� l�:r,.C?:zc.;�/_........... ..A plf nt <br /> I � <br /> � , Aecepted...�..-.3�.,;,,�.L1D2...... By...1/�.�IS�,F . <br /> � . . ............../ <br /> � tendent <br />