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"�u.t� 9-21 a7-!r � . �--..�a,..R� 9�13- z�l'o-M <br /> \V'.D.Fnrm 1-1GOD—F P.Co.—G�YG�2� <br /> City of Everett�VJater Department <br /> ` ?� " ICATION FOR WATER <br /> All Llanks must be fiiled in or crussed out <br /> .. �vcrett�............._...�... ..1....:r.�_...........................192.�. <br /> 1'U Tliti SUPliRINTET'DENT OP' TIiB 1\'ATRR DEPA1:TilIENT: � <br /> ' � CITY OR L•'VEI:ETT: <br /> I hcreby npply for tl�e usc uf teatcr in accerdance �cith thc rules und regu- <br /> lations of the �Pntcr DeparUnent. for pw�poses anJ fic'urev �ta•Ad 6clow. <br /> During thc tim� thnt nny of thc �eatcr m:iins map bc token up by rcason <br /> of :my improcemeuts outhorized Ly ihe Citl' of Grerett, in or nt any nlmM ur <br /> nlley in n�hich they may hn��e 6een lnid, qic City will nol be re�uimd to furnish <br /> w-nter during the progress nf euch imp�rocements to uny consumcr whos� flupply � <br /> m:n• thus be eut off, or l�I�le fnr :my dnmages for its tnilure so lo do. <br /> . r. _ <br /> '1/S S <br /> applicnt�on No....o. .____�......... . <br /> \o. I f <br /> lllock.....:,r� � . � ......... Lot..7...'... . .. Add._ _.......�......__...__...._. .... <br /> ........................ <br /> ...._._._..... .. <br /> . pC y.a...�.....�......... ... . ..._.........5<<e�� <br /> �. <br /> __ __ _ ._... ____ ... . . <br /> The �cark to be executed LY...- --..-... - . . ......... ......P umber <br /> .,._.�G._..... <br /> Stat size of tnp. �✓� �� � � J <br /> .G�I/ y ,� <br /> ..c.Y.._Tnp to Uc inserted in thc main. <br /> .....y....R'nter closet � <br /> ......-..._.13ath � / <br /> ......r......._Urinul . '.�,/ . . , <br /> ...._��._...Plain fnucet inside ., .�'"�,`... ..... '.�. <br /> . ._._'..._Sidc a�nik �vnshcr .. . , <br /> ._...�.......Idose LiL oulside <br /> _.._.-......Fioec Lib for buildin6 Vurposes <br /> __._. �.....Iioec UiL inside <br /> .___ �.....Bi6 far stnLle cuntnining_.......__.......stull.....__........... <br /> .__.._."-...Numbcr ot peraons in family <br /> .�......_Number of rooms in building� /'� � <br /> The P�'emises nrc to Ue ased ns/an.-./�1��,f1?-�� q..�.6 iy���q/� � r <br /> Thc owner of thc pretnises inll.Y/;,..LLLLJeJ.�'.\ ' ./�5/.1t�.. . <br /> Thengent ie............................__............_..__........_..._.................................v�.�.....�. .. t� <br /> Thin application, nithough siqned, shall not ba biaJing upon tBc City, until <br /> nccepted Uy thc Superinlendcnt of lhe \Vntcr DepnrtmenC. <br /> Signed.'.. .. A...._i.. .......�L7iQA-P��. ... .........Applicant <br /> Accepted_........ ......-�/•�..-._.1;12.. .. IIy........ ... . � . . ...... . - -���, <br /> � � ..... . .... . . � - <br /> L��` ..Superintendent <br /> .y�fm <br /> '',?:�= _ . , . . <br /> � <br /> ;at�.,vi. ,� _ .. .,�n's' ')`-�...:: <br /> • <br /> 1 � . ! - - <br />