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T <br /> QtwJCd_ 11- �.� -31- �� . z«�-cf r <br /> 'd ��'31-'�� ��.� �, <br /> ��4 U.Form,-]LOU-EP.Co.-62G�2� • • � <br /> �ity of Everett�Water Depai�tment <br /> /_'�PPLICATION FOR WATER ' <br /> All blanks must be filled in or crose.ed out <br /> �7 I <br /> Et•cretL.._.....__....._....._........_..��..�...f....__..._...._.......13�.1 � <br /> TO THF. SUI'ERINTEA'DCNT OF TIIF. \VATF.R DEPARTDfENT: <br /> CITY OF EVF.]:PTT: <br /> I liereby npply for the use of tsater in accerdnnce trilh Che tvles nnd Yegu- <br /> lutions of thc 1Vnter Depnrtment, for pwpuses and fix!urea xtated Uclow. <br /> During the time that nnp ot the water mains may 6e taken up Uy reason <br /> of an}� imprnvements authorized Uy the City o� I3�-crett, in or nf nny street ar I <br /> alley in which Ihep may hace Leen Inid, the City �cill not Ue required to furnish <br /> u'ater dm�inq Lhe proqrese of such impmvements to eny coneumer whuse suPl>�Y <br /> m:�S thus be cut utC, or�b./e linble fm� ;my dam¢gcs foqr ils fnilure so ta do. <br /> APPlicution No..___...L..�.v._9...........� .2 (� 'f / <br /> Dlock...a2.9.e2-__._ ..... Lot..._.('/.`_..../Z_�.�.__... Add..�-d--C.,r�a <br /> --1 n - yQ. - � <br /> No..,-f-���� _..������`--"""�^"�..................Street � <br /> ___ . ._........._.__... <br /> _�..`..�.�..�......__ .......... � <br /> __...............__......_........_.__...__. . _ __........... ....._..._. <br /> The work to be executed by..__._......� __.___..PlumUer <br /> ,1 _ .._ _. e <br /> �late eizc of tap. <br /> /.........Tnp to be insert:ed in the main. p <br /> _...�........Nn�er closet �y - �S ----� � <br /> ...�...........Baq� , . � ' <br /> .....Urinal /._: :. <br /> _L..-...Plcin faucet inxide ^'�-�•"�'�� <br /> ...._�._Side n•n�k tsaeher ?y r/rV��t�lli�- �ti; � ! � <br /> — Af i^ �: <br /> ............._.Hose 1.iU ou4side �'� � ,O �� . . <br /> r,.._�.Iiose Lib fo.� builJing purpoaea �' -� .A,��J€�.:'�r. <br /> Ilose Lib ins(de � F� '�' <br /> , <br /> �_ ,. <br /> , !:, . <br /> ....._.....BiL for staLle contnining....................aLnII....I.......... <br /> _. <br /> -/^ ...Nmnber of pernonc in fnnhty <br /> -..b....._NumLer of rooms in buildin� <br /> The pren:ises are to be uaed es a...__._�2� <br /> .. .__ _. ... . .__. _ _........_...... <br /> The owncr cf lhe premises is............................._. <br /> . .._............_.................._._............ <br /> Thcagent ie...................................................... <br /> . ............................................................... <br /> Thia npplication, elthouqh signed, rhxll not be binding upan the City, until <br /> '�'^�-�led by the Superintnen/dcnt of the �Vnt,e,r�Depnrtment. <br /> Signed.....�:LJ/f��-..�.t��y.�y.-.�(✓.2_.... Ap lic <br /> ..... <br /> �� y /� ._ <br /> �Sed �' �/..7..F�L._.102...... Dy�!/.Nl-��C.� ..._�,� .. <br /> �/ endent <br /> I <br />� <br />