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� `"�=4 �--��-�2 9 �-/� • . <br /> ,� � � , - w.u.eo.m�—icoo—r ec�._s.xs.s� I <br /> � �- ' Cit of Everett�Water Depai•tment i <br /> I�� y - <br /> � ' ' � -� APPLICATION FOR WATER <br />,�: �_ �;�:- . <br /> � � <br /> . . ,,: � ' All blanka must be fiI]ed in or crossed out <br /> � •_e � � / <br /> II � --��=3 , ' _ ' � Everett............................(?...-..�7.............................192 .��. I <br /> i <br /> TO TIIC SUFI'RINTENDF,NT OF THF. R'ATRR DtPAP.TTIF.NT: <br /> - CITY OF I:VLItISTT; I <br /> "•f7_�.."��� � � I L+ere6y npply for Lhe ure of a�nler in nccordanre�cith Lhe ivles nnd regu- <br /> - � - . lationn of lhe R ater Dcparlment, tor purposea rmd fixture� etated Lelow. I <br /> � � Uuring the lime ihat nny ot (he w�atcr mains may be taken up Ly reason i <br /> ;y� . - of any improvements authorized by U�e Ciq� of Ercrelt, in or of any strect or I <br /> ulley in which ihey may hxce b�en ]ni�3, Lhe City will not be rnquired t.o furnish � <br /> Ii i' �y,''�. wnter durin� the progress ot euch inlPioremenLj to any cnnsumer n�hose supPly <br /> L� - may thus be cut off, or be liable for :mp dama�es for ils failure eo to do. <br /> ,, <br /> -I .�, . r.. . :'�. <br /> , �� rh; --.,. -�:. � APPlicalion xo....s.b-� � <br /> � ...... <br /> , ;g, ,�.' ' aio�� ..._ . <br /> v ...... lat .... Add... .... ._.. <br /> : :E� � . � . f�� q, �i /�'i .. . ..........__.._._.. <br /> ' � `'. . No . ..y..:C:.. .CL {-...,.�� ....... . .Street <br /> ,-�7�:_���i.-� '. � � <br /> L.. ..... . . y: <br /> . _...... _ ._.... ....... <br /> ....... .,. _. <br /> The work Lo be ezewled by .._. . p�� ��, <br /> State etze of tnp, .f/ L���"� �,,µ �? /l{� <br /> � Z <br /> ....1../-./....Tep to be inserted in the mnin. <br /> ...............3Veter dosCt �s��� �c1,�j. �,(�- � ',3��y <br /> ................B a t h <br /> ................Uri nal <br /> .__...........Plain fnucet inside . � <br />. ................Side wnik wesher ' <br /> .. ............liosc Lib outside - . .....�,�'�� <br /> ...............Ilose Lib for Lui�ding purpoaes ��� <br /> ..-.......__Iiose bib inside <br /> ................Bib for staLle containing....................sLall......... <br /> ........... <br /> ����............I�umber of persons in fae�i]y <br /> ..........._...Number of roome in Uuilding <br /> The premises are to be vsed as a..... ..,- � <br /> U �j� ._..__.__................. • <br /> The ovner of the premises is_.... ... • �/// � <br /> . .._... ' ".'_.''.._...-.,�,�7.C��..._... <br /> The agc�nE is................................... <br /> ........................................ .....?�................. <br /> This apPlicntion, e]though signed, nhall not bc binding upon thc City, vncil <br /> nccepted by iSe Sup �inten�ent o[ tha �iater Department. <br /> I -� Signed._ ..�...� . . <br /> ._ ... ....................... .... PPlica <br /> � Accepted._._(0 ... ..,7........79 ._ , / <br />, -,, � Hy...( ./.,,{"�(i� u� <br /> (� �S _._ ....... <br /> i nt -- <br />