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'�-�-x n- 9- ;. , ,, ��. �.•—�x_. �.,�. �l - `i -. ;:. , . <br /> �W D.porm:—.If.00—E.P.Co.—�._G-2� <br /> City of Everett---��ater Depai�tment <br /> A�PLICA.T�ON FOR WATER <br /> NI Ulenks mur,t Le fitled in or crossed out <br /> Prcrett,........... �7�''�� � � <br /> ................................................. ...........192...... <br /> TO TIiE SUPERINTLA'DE:VT OP THE �PATE2 DF.I'AP.T\SLNT: <br /> CITI OF EVERCTT: <br /> I 3ereby apply fnr the uce of w�ter in accerdunce rvitli the rules und regu- <br /> lationa ot the \Vater Department, for pmposes snd fixh�res ntnted bclow. <br /> lluring the time that nny o[ thc �satcr mains may bc taken up Uy renson <br /> of anv improvements authorized by thc City of Frerett, in or ot nny strect or <br /> alle9 in which they mny ha��e Uern l�id, the City �vill not 6c required to furniAh <br /> � �catvr during thc progress of atu;h improeemcnts tu nny consumcr �xl�ose aupply <br /> may t6us be cut nff, or�c lia' fp� any dnma�es for its tnilure so to do. <br /> S <br /> APPlicntion A'q...._._.__......... ._.1...-._ , �. � <br /> _�o - , <br /> Biock........._......... .....'...._... Lot............._3." . _.._........ Add...l..., � .� - , , ; _. <br /> 3 50 � N e_{�,,,Q� ........A,;.J..:_ <br /> No.. .__ Strcet f <br /> . .. ..... .. <br /> .... .. . .. _ .. .........._................... <br /> The worL to be execute�.l by................_._. . .....Mumber <br /> . _........._......_................. . <br /> S�ta e ifle of tap. ��.` <br /> d <br /> Y ...Tnp to be inscrtcd in lhc mnin '+ � �/' <br /> ........�.....Wntcr doset � ��,� � C/ <br />, � . <br /> .......� .....13ath �` �� :�j y.� <br /> /U <br />' .............._Urinnl � I ..I �� �:-�"� �J <br /> , -.........r...Pluin inucet insidc ���,i, '��;�'`�`� Q�'\,� <br /> ...............S;de n�nik a�ashcr -�� / ` <br /> ................Ho=e Uib outeidc �'\ .. <br /> ..--......_.._I�Iose biL for building �iuiposes <br /> ................i3osc Lib insidc <br /> ................Bib for staUle con[ninin�.........._........atall.................... <br /> ...,..`,...........Number of persons in family <br /> ................NumLcr of rooms in build{ng <br /> The Premises are to be used as a__.... . <br /> . ........_.._. _.........._... <br /> .... .... .................. <br /> The owner of lhc prceiises ie_..........�^^�'"!r�., .�,�., <br /> _ . .. .........._.._._...... <br /> Theagent ie......................................... . ' <br /> . ........... ....._..._._....................._................_...... <br /> This applicnUon, although signed, shall noL bc Uinding upon the City, until <br /> uccepted by the Superint.ndent o[ the Water Department. <br /> Signed.__c:M�.�,s.a.i.��.._../,J.,....,.. ./.."'ui-?�. . �.... APPlicant <br /> / � / I'��`._... ..... <br /> Aecepted.....�.�...-.b.....�......197�, By.... " <br /> � ... ._ �. . ' <br /> . . ........................ <br /> uperintendent <br /> �r'J P A b d ['' 1`f <br /> " a . ��`,.� � �4'�"1 6 <br /> � a <br /> �AaF Ly�h v ;y �{ �My . � . . <br /> . <br /> . ,. -._ ��. ,�. �.� Ll�.%} 2� .5J �k5 . J • .. . . _ <br />