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� - - • � <br /> I <br /> Lo.Z2cP` �-I 3_�'4 .�, "�._��_.j , 1. -i r� 7_I ' �'i � <br /> I <br /> 1Y.P.Forn��-4500—F..P.Co.-426-5� � <br /> City of Everett��WatPi• Depai•tment � <br /> � <br /> �PPLICATION FOR WATER � <br /> All blanls must Ue fillcd in or cro=_sed out � <br /> / <br /> ficcrett.-......_.......___......._._.�....�j.. .�....�.6..............19'�.. <br /> YO TIIL SUI'ERINTENDEnT UR TH(? \!'dTER llSPARTJiliNT: � <br /> CITS' OF RVF:I2ETT: . � <br /> I hereLy aiiply for the use of c�aler;n accordnnce�eith Lhe rvles nnd regu- <br /> lations of thc \9nter Dcparlment, for pwpo=es und fix+ures stated bulo�v. <br /> Durin� the lime thnt any of thc ticater nmins may be tuken up Uy renson <br /> of any im rocemenls authorizrd by the City uf 13crrett, in or of nny elreet or I <br /> nlley in wGich thev m�y LHve Acen Inid, the Cit.y will not bc required to furnisL <br /> w�ater during the progress of such improvemen�s to any consumer «�hose supply <br /> m:iy thus 6e cut off, or be liaLlc for any dauvu;es for its failurc eo to do. I <br /> - Applicution No........... � <br /> g '�.�.._............ <br /> uio�x........a..l.'7........ ....... Loc....�L_�..L..4 ._..... .... na .. ...a-�c�-�� . <br /> No...._../.U.�...ft.....�..........._....._..._.Stmet <br /> ...._.___...__.__............._....................................................................._._...........--..............__... <br /> � Tiic work to be executed bS------- - ���-�-�_-�-'���--��.Plnmber <br /> Slate eize of tap. <br /> 1 •� <br /> .,�.........Tap to Ue inxerted in the mnin. <br /> ....._�........R'ntar closet � � <br /> 01..� <br /> .....�.........Bnth G� <br /> -— • /\ <br /> ................U n n w I . <br /> ....._L...Plain :nuc�et inside \ <br /> ..�.Sidc �ealk u�nehce ''J �3 �� <br /> � � � <br /> . ..... .....Hosc bib ouLsidc <br /> ' �rc 1 r �� <br /> ............-:...Ilooe bib for Uuilding nurposes ' ��75 <br /> , - Cffl' �F EVfRET7 WAiER D[P'T <br /> ................Iiase bib insidc <br /> -- -'Bib for sinble conlainin �L"' <br /> ..........._... 8....................9tn11::::::::::::�.,. � ........ <br /> � � . ...... <br /> . <br /> ......_'—.-.A'umbcr of �eraons in fnm�ily <br /> ......�.f..._...Numbcr cf roama in building • / <br /> The Pi•emises are ta be used as n.._ /L, .Ie_. �� ° _.....-5-:f.'-__.._......... <br /> "�e awner of the prer.mises is....__�_.T�"�-�...-.��,-.?--r.....y.a_t`.. <br /> : agent is.............................._...._...._........._............_......._...._........_........................ <br /> TLiv npplication, ellhougL eigncd, ;hall nat be binding upon thc City, until <br /> �-'-d by ihe Super{ntendc t ot t �V .cr Depnrtmrnt. <br /> Signed.........././'�'�7�'7r�2.%L3..�:2�:)2....... _ . _.... .... plicnnt <br /> .7 CY�i�� � <br /> _I.......,`oc..-....�l�'._.197c✓ Dy....... .... .. .... � . ._....: <br /> mtendant <br /> . <br /> 1 - � - t - ' <br />