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'=/YT9 - 8�3r-�,3 c <br /> + - , l= .v-r�ff-�- x..� 3-rl-I <br /> V1. O. Ferm 1 ISOU J-I-17C.P. <br /> C17'Y OF EVERCTT==Water Department <br /> �.pF'' - � •rion for WVates� <br /> nu ulant ,must bc filled in or crnsed out <br /> lceret[.____'__'___'_'____""���f"'______191�:_3 <br /> TO THE SUPGRIN7'ENDIiN'1'O�TIiIi �VATGR UIiPARTniL'N'1', <br /> CI"I'Y OF G71iRGTT: <br /> I hereby;�pply (or the use a(�eater in accordance�cith lhe rules and regida• <br /> :iom o[The Natcr Uzp�rtm�nt, fnr purposes and lismres slated belme. <br /> Uuring Ihe time that nn��n(tlie�v:�!cr m;�ins' may be taken up by rcason ot <br /> anl' improvements authoriuJ 6r thr City of Everett.in or nt :my sircel ar alley in <br /> which thcy nuY have been IniJ, the City will nnt be required to furnish water during <br /> ihe pro�ress o(such imprnvemenls tu:my consumer ���hose supplp may Ihus be cut <br /> ui(.or bc liablc(or an7y d'a7magcs fur its failurc so tu do. <br /> Applicnlion Nn._/-/.�� � , . <br /> ' '_'_"'__' <br /> 131ock �/J7 _ ' ��� ." : <br /> ..__'-r- . .. LuL_"__Y "Y_"__"'.Add__'__._�:"_.' <br /> �� '_'___ <br /> Nn.__�3���_.f/�c�-(ilt�.._• .""..Strecl <br /> _'._"_""__' <br /> '__'"'__....'_'_'"' ' _'_"'__'. _'_"__""_""'_"""". "_'_""'__'-. <br /> 'Phe work to bc esecuted by_______� -------�- .. <br /> '----'.'-----'---".------ Plumbcr <br /> Statc ¢c nf tap. <br /> .i <br /> --��"_7'ap to bc inserted in the main. � �' <br /> ., c r�. <br /> ---�___�1'arerclnset � � � <br /> .__.l____I3alh <br /> "---,r- .Urinal <br /> .--' ___Pl:iin fauce[ insidc . • .. <br /> ,.. <br /> ,. .- . <br /> -- Y�S• . <br /> .__'__""Sida walk �casher ., . <br /> "'-"'._Hosc biboutside ,_,� . <br /> """___llose bib [nrbuildiug pw�pnses <br /> --'_ "Ilnsc Uib insidc � <br /> '-" ___Bib(orslablecontaining._____ _.s[all._.�.___ <br /> " ____Numbcrot persons in family. <br /> '_._ <br /> ' -�-�""NmnLcr o!rooms in 6uildin�/,J <br /> 7'hepremisesaretobcusedasa_ / �-4�_.'__"'__._..___ <br /> �/�� _'_'.___ '__... <br /> _ <br /> �he mvner af the premises isr_.,_i_,_/�// <br /> .� . .�____'_'__'_'___'. <br /> ' ""' <br /> • �C 8KCI1[ is..,""""" . "_"""�('__ <br /> 'his applicalion, althou�h signcd,shall nol bc binding upn❑ lhc Cit)', unlil ao- <br /> . d by The Superimendenl of�he 1Vnter Department. <br /> SiFned�_._�__ � ,/ ����,� . <br /> �_._ . �w�_�'_�._/�.�/ <br /> 3 / � "__' API icant <br /> __'__ <br /> . Acccpted."' __','•_""'_� 91 g . . <br /> � y. � <br /> � : ' . ' ________ <br /> "' .. .. . ' ..� .._..n..n_'_ <br /> —�''_ <br />