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! <br /> , <br /> 4,..� _--J_�_.. __ _ - �.� �.,,t, <br /> v -�,-.ra ;� <br /> R'.D.Form 1-1L0U—E.P.fA.-4-R4-F� <br /> City of Everett�--Water Department <br /> APPLICATION FOR �TATER ' <br /> p11 Ulanks must Ue filled in or cros�ed out <br /> d � <br /> ..............1D'2..D.. . � <br /> � <br /> L• . ..................... <br /> •vcrclt,......._..---._..........:7.... <br /> TO TIIE SUI'ERINTliNDCNCITY OF EVGIiLTT DEPARTDIENT: . � <br /> I hereby nph�Y for the use of u�ater Sn accordance a•ich the rules nnd tegu- '� <br /> latione ot the Watcr llepnrtment, tor pm�poses nnd f������6e tnlren vp�ly rensan ;f�� <br /> During the lime thnt any of thc wnter muins mnY � <br /> of xny imi+rovements nuthnrized by the City af liverett, in or of nny etreet or - <br /> ¢lley in wliirh they mny huve 6cen ln�d, Lhe City will not Ue required to furnish <br /> wnter durinq thc progrces of such impro��ements to any conaumcr whoue auppl9 <br /> may thus be cot otf,otC�be(l�inble fm' nnY damoges fot its tailure eo to do. <br /> ApplicationNo.......0._...Q...J._�._.._... �3��'f' . I <br /> Add.. _ � <br /> IIlodc....................�...J.�.......... I.ot......�-..�... <br /> _....... ...._ <br /> No........ a..7....z'..�...��.:..........3tttwt <br /> .... _. ......._..................................................._........................................................... <br /> 'fhe ���ork to be executed by............._.. . . ........ Platnber ' <br /> . . .. ..............G t....... � <br /> .... <br /> s��� �/��� at top. y �� ,r, � 1 � � ; <br /> Y' Tnp to bo lnserted in the moin. ,[iA1�- � I �`� <br /> �... <br /> ..._[.........Nnter closet . �� (�I�%i}� - �� ���� <br /> ..-.-.._...B¢t6 hTY fii tti�lET •�. . � � L:Y�� <br /> .....�.._...Urina] .'._......_......._.. .....�._...._........ <br /> ...,,../.......Plnin fnucet inalde � <br /> _..._—......Side nalk wnshet <br /> .....:::......13ose bib ovtPide <br /> ......._.....Hoea bib fo: buildin8 Putposea <br /> ....,,-........I�o=_e Uib ineide <br /> ........-_.....Bib for stable conlaining....................etall._................. <br /> .,....-:.....Nutnber of persons in fnmily <br /> ,........ ..Number of raoms in building �j" "� �� ,, /y�ni� � <br /> Tfie Premisee are to bo nxed ae n.............,..;�/�.r�-r�-�.t-�_�..�_.��j.,,c / • <br /> 'Phe o�ener at tlie premises is..� . . .,,.�t-iZG-<•.-../7t.,'1..•l�.�.....:._..._....... <br /> V <br /> 1'hc agent is...................................................................................................................... <br /> Thie ¢pp]ication, althouqh signed, ahall not be binding upan the City, until <br /> necepted by the Supedntendent of tha N'eter DepaHment. <br /> �7 � �/ <br /> i Signed.'v...........k��...........�.�........_..A7'.�...'v..f.��1.....Applicant <br /> . ....__..._..192...... By_...._�....... .-y��. g...p.S........_................... <br /> _ -' - ��- �i� (. .7��uperintendent <br /> I <br />� <br />� <br />