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I <br /> I <br />` <br /> I <br /> iai rf . , _ :y .l� �la.Xi� ��..t _ <br /> . . . . -�5 ' � � . <br /> W.D.Form 4-IGCO—EP.Co.—b^.6-21 � <br /> City of �verett�Water Depai�tment <br /> APPLI�ATION FOR V�TATER <br /> All binnks must Le filled in or croesed ont <br /> Everett........................................��/�.-�.C....................192.Q.. <br /> TO THE SUPERINTENDENT OF TIiE NATF.R LEPAP.TililiKT: <br /> CITY OR EVE22E1"S: <br /> I herrby upp!y for the uac u[n•ater in acco�dance with the rules nnd regu- <br /> lations of the �Vater Department, for pm�poses and fixturca stnted beloa•. <br />- � During thc time thnt any o[ the n•nter mnins mny Le taken up by renson <br /> o� nny improecments aviLorized Uy ttie Cily at Eccrelt, in or of any aLreet or <br /> atley in which they may haec been lnid, tl�e City will not be re ouired tu furnish <br /> water during the progress n[ auch improcements to any consuroer whose auPP�Y <br /> m�y thuR Ue cut otf, or be liable for any damngca for its failure so to do. <br /> Applicntion No........d�..._f..�.��............... �-"�L.Z.t � <br />' Rlock......................................_ Lot_......................_.............. Add...................._....._.......__.... <br /> N ................. ....................... ...... ..... ............Stleet . <br /> _ • � T� L�f� —{ � � � y�-� <br /> ..�`�/���-'.'...._?.cJ�`U�`�/....=....�GJtcQ-�.-�".....'.�.C...'�.._........................_...... <br /> Tha w�c to 5e executed 6y../.._�............. ..�..�..__�_ ...�........-.r_-. ..... ...........P unil�er <br /> 3�Sl•te sizc of tnp. -a'+'�ur-c-f' vd"P'4—�d e��. <br /> �._�.....Tup to Lc insrc�rt,ed in the moin. « <br /> ................R'�tcr closet /4-1�� �' _ r, f <br /> ................IIath \�'� ��"+'"G( 9� ,.�l ro <br /> ..Urtnnl � l � <br /> ................Plnin favicet inside <br /> ................Sidc walk washcr �-.__ <br /> .., �� <br /> ............._.Ifosc bib outside iY: /� �?, � <br /> Iiosc bib fot building.purpoaea �� � �` � <br /> ................ �� V <br /> � ................Hnsc bib inside r,;.... SFC� � r . : <br /> ...............Bib for atable contnining....................etall........._.._y nF F��Sicl`I }���� -. .„. <br /> ................1'umUer of pr.reone in family � � ....'..........1.. / � D�"T <br /> ...............Numbcr of rooms in Uuilding / �/ ����"" +r,,,� <br /> ' ' ` " Tho Premises arn to Le used es a. .. �}-a--L1-�) <br /> �.....�... <br /> .... <br /> ��� Thc owaer of thc premieee is .P....... -O.�L7�t.�rz!L�C-q,.s�../,�t-e�....,. <br /> 1 �� .. . ...... <br /> ���' . <br /> .. • ... , The ngent �s.............. ........ .. ............................__.............................................. <br />� Thia applicatlon, clthougL signed, �hnll not be binding upon the Clty, until <br /> accepted by the Superinlen t of e ' r Lepartment. <br /> O <br /> i <br /> Signcd........... . ...... . .......... .... .............. . . . ... ....Anplicat <br /> Accepted....�.-.�.s..:..........192.� By.... .��,�..-:...*.L:....................................... � <br /> � --�, Superintendent <br />�r:'�1��.�`94 �� .'4n:e'. <br />� . <br />� <br /> 1 <br />