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i <br />, <br /> i <br />� <br />� <br /> i <br /> z...w e-i,-/�-n . - �--.'SRx+-X v-Y'1�5 !tf)'3"V <br /> lv.n.F„Ro�-��oo-ss.co-c.sa.x� <br /> City of E�erett�Watei� Department <br /> APPLICATION FOR WATER <br /> NI binnks must Uc filled in ot crossed out <br /> Pvcrett............. ..... ............. —. .`?`......192..� <br /> �....... <br /> TO TIIE SUPBRINTEND�N'C OP TIIP NS�TF.R DlPARTMENT: <br /> � CITY OR liVGRETT: <br /> I hereLy npply for the use uf�eater in acco�dance �vilh the �ules m�d regu- <br /> Intione of the R'ntcr Depnrtmenl, for pw�puses :md fix�mrs sta�ed belo�v. <br /> During the time thxt nny of the tvater ntains mny be tnlcr.n up bp renson <br /> aC an} improcements nutLorized by lhc Ci:y of Everett, in or o[ nny eG•eeL or <br /> nlley in which they may hnve bcen laid, the Cily �vill noti Lc required to furnish <br /> water durin� the progress of auch improeementa to nny consumcr �cliose supply <br /> may tlms bc �iL off, or p6e Iin-L7le fa• nny damnges for its fnilure so to Jo. <br /> arPlicntion No... .._R...�_l..�............. 7�J�1�._ <br /> f � : <br /> , 131ock.........................'. ... ., Lnt......!:[:... . . Add..._........ ............................ <br /> � n �........... <br /> No........_.oC.�J....��....��""l..'..........Strcet <br /> � <br /> .... ... ..._........ ..._............:..................._............_...................................................................... <br /> � Thc �vork to be executed by.... ..__....___...... .................._.............Ylumber <br /> _U� <br /> Sta�t�e eizc af tnp. �y � (Z � <br /> V <br /> --%..?:C._Tnp to 6e inscrted in tho mai i� <br /> .......C.......\Vatcr doset `'�J�`� ' � ,��8 <br /> L........IIodi CITY OF E'��d:T{ 17ATER LiP�i <br /> ........ ....TJrinnl --/" <br /> �;Y.......................(,,....._....-......... <br /> ....._�"'.....Plnin fnucet inside , / <br /> $!dC NB��: WA9�ICC <br /> .--..�...._.Iiosc biL outside <br /> .....':........Husc Uib tar building purpoer.s j <br /> ......_ ....Iiosc biL inaidc <br /> ....._........Bib for sl¢Lle contnining....................elall..........---....... <br /> ......_........Number of persons in fatnily ' <br /> ....-�.-ATumbcr of rooma in buildin� <br /> The premises aro to be used vs n.... ... ........ ._ . ~ <br /> ..__ _...................... .. � . <br /> Thc owner of thc prer!misce is.....�. ... <br /> .,_ , ... .. ..,,<-�-da.�..�. <br /> . Thc agent is......................................... <br /> ....._..........._..............................._........................ <br /> iis npplicntian, nitliough signed, chnll not Ue 6inding upon the City, until <br /> d by the Superintendcnt of lh Nntc/r Depnrtment, ,,, <br /> Signc�.��.....�y�.� ! Y^`?0,�� • :e��„�� ��:r., ��� - <br /> .. . ............. . ... .. �j/................APplican ,� <br /> �s t <br /> � 7 ^�i <br /> ... .................1�92...... B9.. f " aln � <br /> ........... ............... �r <br /> � '1��'� ��� � uperintendent ll��� , �� <br /> ' � {yj1F'�?`i{,��'•�<�. <br /> �; ; h. <br /> 1 ip t;;��v's� <br /> � ��i i ��4 <br /> � �'7 .=,�.y�,` <br /> , � ��°•.. <br /> ��', <br /> � �{; <br /> �'�+�"a.,`��1. <br /> N <br /> � <br />