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c--.�a-�-..-.� e - i 6 _ .t p,� .� �-� �,.�_S; �_ �� . . �_, �> > � . <br />�c. n. F�,.m �—�cao—sr.ca—c-zss� <br />City of Everett^-Wa:ter Uepartment <br />APPLICA'T�ON FOR T�iATER <br />911 blanks must br, fitled in ur cros=ed out <br />�j, � / <br />Everett........:.:.:.�i�/_.�.._...- --..: ..J�..-.-...._........_...102..b <br />PO TId[: SUPERIK17iNllISNT OR THF. \CATP:R DEPAItTSiENT: <br />CIT] OR EVEI".fiTT: <br />I hcreby apply for the use ot water in nrcardance �vith the rvles nnd 7rgu- <br />Ic.ionn of the {S'atcr Departmenl, for purposes and fiz!ures stated Lelow. <br />Durinq th; lime that miy o( thc �e:.lcr mnins mnY 6e laken up by renson <br />cf an7 :mproveraen,a nulhorized by the Citp uf Eccrett, in or of nny cLreet or <br />r.Iley in �vhich the� may hn�ro been taid, iLe City �vi11 not be required to furnish <br />n�ater during tUe progresa of such impracementi to nny consumer v:Lose suPP�Y <br />may thus be cut oft. or be liable for anp de.mages for ihi fnilure so to do. <br />r/,/ � <br />APPlicntion No...�7.-7.. ..—..1............ <br />II'urk ................_....:... ...... 'uL......:� — -..... Add... _..... <br />/ � / .._.._...__........_.... <br />. _ _.......... . <br />To........�.� l_.��:.�..:.:....�..........8lrcet <br />..._ ...................................._.........._.._................_..._.._..........._......... _......__........................ <br />7'hc work in bc executed by_.._.. .. '1) �� <br />. . e. .I��� G�'i7..1�J1.......�t'lu� <br />Stute sizc o[ tnp. ' N��,�,{7. 0' <br />-.f.i � , - - -- �.�'-/ � / <br />...........Tnp to bc inserted in the main. "� <br />....�..._...ldntcr c1osM � ;..',' ��.. � . �. � , . <br />.... /........Bath ,,, � � . . i y <br />I,. <br />" �hr�i . o , � j <br />......�'......Urinnl .. __ �- ' i �� �:)�6 `'�....' <br />...�-..-.::....Plnin fnucet inside �;�11' I:c E''�r GdT�p C�?'T <br />_ - . ...............�-�. <br />...........:....Side walk �ea�lier .. r.............................. <br />...../..........ilosc biU oulside ��� <br />......_�..-.Iioae Lib for Luilding purposes <br />....... ...liose bib inside <br />........ .Bib for staLlc containing ....................stnll.................._' <br />.......-......Numbm• of persune in f�mil}� <br />_-1�-. NamUcr of rooma in buiiding ��. <br />�..... <br />Thc premisea are to be used as n_..._.. .. <br />. . . . ........ <br />'p.. .. .. . <br />_..... _....... <br />7'hc owner of the premiaes is._.�:.�i.. �.� . • <br />,_ �_... ...._ _.....-�/;..:(..�.. <br />' cr agent is.....__....._.._............ <br />. .............._....__.._..............................._........................ <br />aPD>icnlion, althovgh signed, 3hni1 not be binding upon tlm City, until <br />Uy Lhe Superintendmt _onf lLe �i'ater D pnrtmvnT„ <br />"Sned.�....�N✓r..(XJ...�G�/l�:,fl.Yi....._,.��.._. ._; PPl�cnnt <br />...1�':...:y..-.......1sz.F,'i Bv..... o��,�� <br />� � ................. <br />�_-.�, tf�erintendent <br />