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`'�'� y-51fr-If . �'u�' y_�- i�_ <br /> R'.U.Form d—I600—E.P.Co.-6-2G-24 ' <br /> City of Everett--rWater Depai�tment <br /> APPLICATION FOR WATER <br /> .1ll Ll.v�ks must bc tilled in or crossed out <br /> � Evemlt�......................� .�.........102.d.. <br /> ... <br /> TO TIfE SUPERINTCNllENT OF TIIE �ppTF,2; DE ARThIENT: <br /> CITY OR �VERGTT; <br /> I hereby npply fur :he use of wster in accm•d�nce a•ith the ivlcs and regu- <br /> Intions of lhe \Vnter DepInrtment, for pwpoecs nnd fixtures stated below, <br /> oE nnylimprovements uuthorized Uytthe��Cityr oC�B�emtt Itle OCkOS n,iy��t ect9or <br /> nlley in «•����h they mny hn�•e been laid, the Citp t��ill not be required to furnish �� � <br /> e�nter dm•infi the progress of such improvements to nny consumer whose supply <br /> ❑��y thus Uc cut of[, orGbcyinqble for .my �o�»nses for its fnilure so to do. <br /> � APPlication No.......P...�...[. � -- S 3�f <br /> .................... <br /> Block................................ Lot.......... � . . <br /> .. .............. .. 9dd.....:...�_.......' <br /> / ' . ._..........__.... <br /> No....,�..�j!-.� � ..�Le� .. ....L..........Street ' <br /> ................... <br /> .................................................................................................. <br /> . .......... <br /> �e �vork to be executed by..._G.._.._. <br /> ........___.. __.._. '.... . ._......_...P]umLer <br /> ,/ � � ° <br /> Stut size of top. . . <br /> ��7�.�-Tnp to be inscrted in the mhih;�,'� ' ��� � � ' � � <br /> .....(.........�t'ntcr doset , . .,: ��;�1;1 � � �.,� . <br /> I ' ' <br /> ...Bnth ' �ii ,'�, o � Ii��q'.. <br /> ..{........ , <br /> ...--.......Urin¢I = '� .; '�:_ '. -. . . <br /> ���......pinin fnucet inside C/ <br /> ..... 4 <br /> ................Sidc n��lk tvnsher <br /> ���-��........FIose bib outsida <br /> ��� ..........FIose bib for building ��urposes <br /> ����� ........Flose Lib insidc <br /> �����•—�.....Aib for stablc contninin <br /> g....................s t n I I.................... <br /> -��'-/......T*umber of persons in fnmily <br /> •���`.......Number of rooms in Uuilding <br /> The premises arc to be used as n.... JCA � <br /> ....__...:�.C(... ..�.......... <br /> The .nvner of the premises is...,f�fj� ������� <br /> ............ <br /> . .......�.�. r��. <br /> Tnc agent is................. <br /> �!_ .fL..... <br /> ............................................................................. <br /> his applicntion, although signed, shnll not bc bindin ' ......... .. ........ <br /> ed by the SuperinteJyient of lhe \Vater D�nrtmentg ��on the Ci , until <br /> . Signed..�...LLI�:�.. 4:��..r71. <br /> � ....... .. C/, o <br /> � .... . �L::....... plicnryt <br /> �d......Z�.`.-...�0....:.......19 � ., <br /> �IS... By.........�!t ..: . <br /> ....... ... .��,....... <br /> ��S [x �, ident <br /> - +r_. ,. <br />