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7.u�t' 7—/�-?-R l� .4_-.J.-��� �� . i ,. ;t' l3 rr� <br /> . � <br /> \V.D.Form 1—IFOU—E.P.Co.—b.p6-^-/ <br /> City of�Everett�Water Department <br /> APPLICATION FOR ti�ATER <br /> All blm�ks must bc filled in or crossed out <br /> EvcrMt........................... ......--.........._... 7"�......792....4. <br /> TO THB SUPEI2INTGNDCNT OP TI�C \t'ATE DBPARTDILNT: <br /> CITY OF �V�12�TT: <br /> I hereUy n�iply for the use of �cnter in nccordance �vith the rules :md regu- <br /> I¢tions of the 1Vnter Depurtment, for purposes nnd fixtures stnteS beluv. <br /> During the time that anp of the �cnter mnins mny !�e taken up Uy renson <br /> of nny improecments nuthorized by thc City ot ��'crett, in or of nn� „'rcet or <br /> ullrp in �ehich thep may have heen la'�.d, thc City will nat be required to�furnish <br /> watcr during the Progress o[ such im;:ro�•ements fo nny consurocr tv}mse supply <br /> muy tlms be cut off, or�caiplilu� anY dnmaCcs for its fuilurc ^o to do. <br /> � - • 7�� g <br /> Applicntion No...__......�f.....�'................ <br /> Block.............�..r3.._�.......... Lot.................._..�.�............ ddd..........._........_._................ <br /> No..........�.�.e�c..�....._�.�........Strcet <br /> .....................................................................................................................�.�...... ............. <br /> The «•ork to be executed bY..--.........-.....---......-.�+....... . �lumbcr <br /> j�/, i7�c of tap. � ' <br /> �... <br /> �I.�...Tnp to bc inscrted in thc m�in��� � - - <br /> '. � <br /> �. <br /> ................R'ntcr closet r�--�. , � � �. ��� <br /> � - ' <br /> ......I..._...Bnth 1� l f� '!<�4-. � <br /> A ra � ��s �, <br /> ...............Urinnl '� . (�i �_�- ���, <br /> ': �' Y V>.Tt <br /> ...._..........Plnin fnucet insidc ��Ilf�JrRF( fl r,l. <br /> �rtY <br /> ................Sidc wnik �vnshcr '��. <br /> ...............d�osc bib outsidc <br /> ................I�ose bib for buildinE• purposes <br /> ................IIose bib inside <br /> ................13ib for stnblc contnining....................stall.................... <br /> ........ <br /> A`um4er of persons in family <br /> ......J..�........NumLet of rnoms in building , <br /> The premises nre to be used ns a.__.. .... .~"�.:���..1-:...i'-'.'p. . <br /> . ...... ............. . <br /> The o�vner of tl�e Premises is......._.....�..'_.�._.......... .......... .... ..._..... <br /> � - � � :,ent is............................ �- <br /> .......................................................................................... <br /> ."cntion, nithough signed, shnll not bc binding upon thc City, until <br /> �c Superintendcnt of J.Le R'nler Depnttment. <br /> � � /l <br /> Signed....i..�.,..L!:.�....4....��U. .. '. ��c.:.G.�.............. Applicnnt <br /> /� �/ �y.4, �...... _ . <br /> /�� C-C- . z.z/ L`c.,z l�-->'•-tci <br /> Accepted......_11J..-.�.7J........1S2G:.. BY............... f ....................`_............... <br /> �� Superintendent <br /> i /�+'� ... <br /> --.c: . - - _.• <br />