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, <br /> �� <br /> �_x�.•��-..�•c �• _,�,�JL�.�.e�+l' �� —9_ �'j� Y--rn—i � <br /> ��. _ . � <br /> N'.D.7'nrm b-ILoO—&P.Co.-4".G-R/ <br /> . City of Everett-�Water D�partment � <br /> APPLICATION FOR WATER " <br /> All Ulnnks must bc filled in or crucEcd out i <br /> lt•crMt..............� .�:/2...5..�........._......._....1D2..... I <br /> 1 <br /> YO TI3E SUYERItiTENU�NCITY OP E LitETT:UE�i AitT2�ili\T: � <br /> 1 tiereLy nPPb' for the use ut�cater in :�ecord:mce �cith tUe c�ulcs and regu- � <br /> lotions of the 1Sater DeP�rlment, for pu.po=es nnd fixtures st:�ted Urlu�e. I <br /> During qie tima thnt nny of the «-atcr mnins may be Inkcn up LS r�ason <br /> of ¢ny in;irovemenLs cuthorized by the Citc of T3�'rrMt, in or oi cuy sir aL nr <br /> nlley in �r��iich fhey may huce b�eu lai�, the City will not be mquired to `_u,nia6 , <br /> �cuter during the PT�6'ress uf s�cU improvemenls to uny consumer �c6ose su��ply I <br /> inny tlms be cul otf, or be liable f�r ncy dmm�Bes tor its fnilure nc to do. <br /> Applicntion No.....�.�.-�..�.....-..-.... � <br /> . �YI31nek _ :: ..^ ' .. Lat �J. . . ._..__. Add....-,.�.. . ...:_.:......._.__.. <br /> \o...� �^Q.3. .,,,/��v-.y,� ' . . _....9treet <br /> L/ <br /> _ ..... . .......... <br /> _ .. _....... <br /> ...... <br /> 1hc a•m�k to be executed Uy ..-_- ���-��-- � ��-P�umber <br /> Slate siae o[ tap. <br /> ...�2-....Tap ta Ue ir,.erted in lhe mnin. <br /> ..._�......._\Pntcr dosct • <br /> ._...�._.......IInth <br /> .._.-�.c..._Uiinal <br /> _._..2-....Plnin fnucet inside � <br /> �....Side tcnik wn.=her <br /> .._..�_......Iiose bib oulside <br /> i— <br /> .__ .__.....liose }ib for Lui�3ing Purpnses � <br /> . _�....IIo=_c Uib inaide <br /> . - a�-�. <br /> ..._�-.....DiL fur stnblc contmning....................stall�.........._ . J - <br /> ..._�.....TumUer of persons in fnmi]y ��. �\ '�'�"r, a� <br /> � C� )_.� <br /> :� . ..A'umbcr ot roome in building i � „ � � � <br /> The piemi=_ce nre to be used as a_ . t jx, _. � �:-�� <br /> TBe owner of the ptemiecs ie. ...�,.c_GL�� -- -��"��'�"'' ""��-' <br /> Thengent is..............__..........._.........................._._ _ ... ...___..._............_._............ <br /> applic�tion, although eigned, sh¢ll nut bk ' ding upon the Cily, until <br /> bs� the Superinlrndeut of lho Nn .r PrpnrtMent. <br /> „ <br /> �_ -�....��� _{....APPlicant <br /> Figned..;�._.,.c.' ............... ........... � �....../.. � <br /> ' �q- .._..192...... D . � � . .. ......_- <br /> _l� .. ...�� Y..., �r.... ....... <br /> � " / � [gl/ . _ erintendent <br /> �/� <br />