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£..�td �-�� �s �� . ,�.,�-,-�:7:.c��—�i l�-�t z_ � �i:; <br /> w.n.e����—�coo—Er.co.—e-zaz� <br /> City of Everett�W�ter Depai�tment <br /> APPLIC�TION FOR WATE�; <br /> All Ll�nks must be filled in or crassed out <br /> Lverett....................... _ . .. ........ �-�............192...0.. <br /> TO T?IG SUP�RI'iTENDi?NT OF TIiP R�A sR Dl''.PARTL[ENT: <br /> CITY OR I'sVER13TT; <br /> � I hereby nppl}• for thc use ot w��.ter in accordance with ?lm rules and regu- <br /> 1¢tions ot the 1Vuter Depnrtment, for purnoses +md fis�m•es vtaled belaw. <br /> lluring thc limc that nn� ot tlic wator mnins mny bc taF:en up by renson <br /> of nny imrn•ovements m�tlmrized Uy thc City oL E��erett, in or of :my �trect or <br /> ulley in which they may hnve been Inid, the City t�•ill not be required to furnish <br /> water during tLe progress of such impro��ements to nny consumer whose suPP�Y <br /> may Qms bc cut off, or 1 ]irblc for any damnges for its fnilure so to do. <br /> Appliration A'o........��. ......... .._7���. . . . ...,'- 7:,.. .., ,.,. � <br /> Block............�........ Lot....... .�� .. Add..........__............__......._.... . ��, �. . .. , <br /> No....�. . .. . . . . f . . <br /> ��.. .................✓.../' ..�i'�... ......_ ..................Stre <br /> � '.�_ 1 ` (\C� <br /> _.�—�.�..�.�............... .._' .'.:.....'_.`_�._.................C.. ... ..._................_............. <br /> �7 <br /> The wcdc to be exeeuted by...'.r,.......'.,'. .........`._........................._......P1umUer <br /> (: G��;..._., . � -._ <br /> State sizc of tnp. } -,,, <br /> �f::'..Ta to bc inscrted in the mdiI. J U�D ,��'� �I � <br /> / , <br /> -.f p 1�.6-i Y"R� <br /> .......�. �i'nter closct �:r' i i • � <br /> �... <br /> .....L.........Bnth CI71' Oi EYcIiET �e1if31 D;P'T <br /> — , � <br /> ................U n n a l <br /> ........_ cl. . . .. <br /> ......7-......Plnin inun t innide ,<�• <br /> .......�.....Side n•nik �vuslur <br /> ..__�........Hose Uib o�itside <br /> .._..-.......I�ose bib for buildin,q purposes <br /> ...�.......Iiosc bib inside <br /> ....,�......Bib for stubl� contnini:ig....................stall.................... <br /> Number of persans in f.�mily <br /> .....�.......Nnmber of raoms in Uuilding <br /> The premises are to bc used as n!�_ . . ... ...../� ......._.._......._................... <br /> Thc owner of the prcr.iises igi�,�.G.._...........lQ(..GS%C�(�....................... <br /> Thcngent is.................................................................................................................... <br /> This npplicatian, ulthough signel, shnl.' not bc Linding upon thc City, until <br /> �acepted L� the Superinten s uf ljiG R'�4��F�rtment. <br /> � /�. / i <br /> �igned............ �',C.,...._�7ldJ(/..•............................ .....A plica <br /> / <br /> Accepted.. ..�l..?..:..��.....:..192.`�'.f... By.......�� .�_.. <br /> . ......... <br /> � � InCendent <br /> .r__ _ <br />