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:-,. <br />: <br /> 4,.�.-�o �,-,�-.n-r . <br /> i <br /> ' .. . �s""aAJ�t� b _1.p�•h' �".r��y.� <br /> I\' D.Ibrm 1—IGUO—F.P.Co.-6-:G-2! <br /> Gity of Everett�--•Water Department <br /> 1�PPLICATION FOR WATER <br /> � All binnks must bc fiiled in or crossed out <br /> ' Evcrett�.....................:./.../.!<!�.....v�.l..............192..0.- <br /> TO TI'.� SUPERINTEA'DF.NT OF TIIE {FATF,R D•�Tn[E\`T: <br /> CITY OI�' EVERETI'; <br /> I Lcreby npply for the use of�cnter in nccordnnce �eitli Uic rules und regu- <br /> Intions of the �Valer Department, for purposes nnd fi�tm•es stated Ucbw. <br /> During the timr. that nny of the watcr mnins mny Ue tnken up by renson <br /> cf nny imni�ovemenls authorized Ly thc City of E��cretC, in or ot nny strcet or <br /> nllcy in whihh thcy may hnve bcen Inid, Q�c City ��•ilI not be reqnired to furnish <br /> �vnter during the progress of such improvements to nny consumcr wLose supply <br /> mny tims b� cut off, opr be IiaLle for :my damnges for its fnilure so to do. <br /> APnticrnytian No......Q...�.�!..�.................. 7 '��3 <br /> Black............i...,:�.......... Lot.......�.�....... <br /> . .. . . Add................................_......... <br /> ... ............. <br /> No...._�.�_U..�..- y��...........Street <br /> .....V : <br /> ...__......_......_........_......................... <br /> ......................................... <br /> TUc work to be executed Ly...... ... � <br /> .................PImnL cr <br /> State :+ize of tap. � ,'�- �� .-. <br /> / �— ,� 'n�. ��,; � <br /> ���.�.......1np to be inscrted in the mnin ��� f7'�+�,4i lj � <br /> /.......Nntcr closet e �E <br /> ........ ,`'i��. � + . <br /> ....I.........Bnch ���TY 0� F.bERETT Y;AiER AEP'i <br /> ....... .....Urinnl �.�. <br /> � ............ .�r� <br /> .......'.C'.....Plain fnucet insiJe ........... . <br /> ........ ....Side «•nik wnsher � <br /> .......�....._Hose bib outsidc <br /> ����_..�.....Hose bib for building purposes <br /> .......-.'.....Iiusc bib insidc <br /> ........-.....Hib for stuble contnining....................stall.................... <br /> ����. ..Num6er of persons in fnmily <br /> I...... <br /> �����+�.......Number of rooms in building <br /> Thc premises nrc to be used es a...._.......... ........ <br /> ... ............^................................. <br /> The o�smer of the premises is._��I,-[/_ '�.� / <br /> .�..c,.-t�� <br /> ........................ <br /> The ngent is........................................................................................ <br /> .............................. <br /> This npplicntion, although signed, ahnl! not be binding upon tl�e City, until <br /> uted by lhe Superintendent of the Nuter Department. � <br /> � ' . 1 <br /> Signed..............:.:...:1?�J..........._4-C_.-.7-.G'�.- <br /> ... ....til....... .............Applicant <br /> .......................192...... By................. � <br /> . � : - � �......�.... ............................... <br /> =��-� � ��-�Superintendcnt <br /> —�:._ :.y.� <br />