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.���1 ���'1,��� ' �Y •r—.�LV.� •�_ .: _ .I•���i <br /> 11 O.F,-m1. IdOn. F.P.Ca—G.R6.1/ • <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER � <br /> All Llnnks musl bc Cllled in nr crussrd out <br /> ——__ <br /> r,•���u.__. _/ e�. .?�/�.. _. .. ........inz��/ <br /> TO TIU�: EUPI?Ii1NTIiNDF.NI' nI•' TIIP 11'ATI�.'!t Dlsl'ABTMI'sti'1': <br /> CITY OP' I�.VF.ItIiTT: <br /> 1 I��rrrby nppiy for the u:�� . `wnl��r in a��eerlmrr �vith lhe rWrs nnd regu- <br /> 'nlinne o( ihe {Pn:er lletmrtmcr , for pmpur,rs nnd fisniroa alnled Lol�w. <br /> During lhc timc thnt nny of lhc ���ater mnius mny Lc lnken up L�• ren�on <br /> ut nny in,r,rnvements nulhnrizcd 6y thc C'it}' of 1'crrrtt, in nr ef wiy xtrccl nr <br /> iJlry in which they mny hnce 6rcn ;n�d, lhe Cih� will nat bc required fo turnivh <br /> w:iter during lhe p^ogress nf z�ch imnrovrmonta (n nny consumer whnse nupply <br /> niay Umx Lc iul nff, orr/Lc liablc fo� �:.ny J:imr.grr tor its 6iilurc xu lo do. <br /> ApPliculinn Nu._. �f..Q..s.Q . <br /> „i,��i�.....�,I�� . . . �t.��c �.2��--.? 7 add. _ <br /> � Nn.- . . .2 �^2. .Y���ll//Nitoot!�'�".. 3treet <br /> . . . . _.. . .._ ___. . . . . _ .. ... . . ._..__... . .. __. . _ . .. ..__. ...... <br /> i hr �rnrk to F^ executed LY . . .. . . . . ...Plumbor <br /> Stnle afze o( 'ap, <br /> ...�Z.._Tep l�� be Inecrted in the mnin. , <br /> ._ . ......Wu�cr closet <br /> .. .. .......Bn�h ,. <br /> .__ ........Urinul <br /> __ _....._Pinin tnuccl ins+de <br /> .t�.......£ide o�nik a�nshcr , � � � <br /> ._./.........]iose biL oulv(de Q G <br /> ..�.__...iTasc bib (or building purpnaov � ��X x -- <br /> _ _..Y. . `(oee bib ins(dc <br /> ._ _..��.. 'fib for sln6le conlnining....... ....._.....ntnll.._..._... _.. . <br /> ......�`.......4:u�abcr of pereons {n tnndly <br /> ..._�........Number of roomn iu buiidin� ,"�� <br /> 'fhe ,remixee nre to be ueed ns n. .�u,U.._.C.4— ,., __ . <br /> The otener o[ the premiecx '�,�, „��,i,y/�p�,,,� <br /> Thengent I,........_... ... . __...... .. .._ . . ._. .. . . ___ .....__._.. .._. ..... <br /> Chia npplicnl.ion, nithnu�h nignrd, ahnll not bn LinJing upon lhc City, untfl <br /> ���pted by the Superinlendent nf liy�{Vntcr Depnrtmrnt. \ <br /> Si�ned.�...�. �0./ , ' / \ <br /> n l�n�-.�.v.p}'y�.--. . . .....fApplic¢n1 <br />� `�� �.4 ' _.. .. r'YJY1. Hp. . � <br /> rl .. <br /> �, –���_ ��� .__._. ...._....._. <br /> i 7 uy� mdent <br /> F <br />