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\ <br /> �� c� _ �J: �S_l�:r' <br /> r�.-� ii_y—x..,:� <br /> 'd'.D.Pnrn! '.500--E.P.Co.—G-96�21 <br /> Cit�� of Everett�—�v'a��:r Department <br /> APPLICATI+.�N FOR WATER <br /> All Ulanl:s nmst be Silled in or crossed out <br /> �5 �.��1�......�s�.� <br /> c��r�cc„...1:�-e..:.�,.......... <br /> TO TIIE SUPLRINTENUENT OP' Tii� '1'ATEI�' llEYAI:Ti�ICNT: <br /> CITY OP EV:I.liTT: <br /> I hereby aPP�S for the rsc of�e�ler in accordunce ��•ith thc rnles nnd regu- <br /> Intions of the Nater Depnrtment, fnr pw•po=es nnd fis'u:es stated iiclow. <br /> During Uie time thnt anp o: thc �vatec m:�ins mny� 6e laken vP �Y rc:�son <br /> of nny imP�'ovements autLerized Uy tl�c Cilp oC ticcrett in or ot any strcet or <br /> nllcy in ��•h�di thcy mny Un�'c Ucen Inid, lhe City �vill nut Uc required .o furnish <br /> �v:der during the P�'OF«�5 �t sucli imP�'o�•emmits to nny cunsumer �chose supnly <br /> m.q' Llms be cuL u[f, o(r/'6e2 linbl�e/for uny dmunges for its fuilm�e so to du. <br /> A�iplicntion No.....�S...c1.1..p���............. <br /> i : � <br /> ' . ... 9dd. ._._._.._....._._.._.... <br /> ISIOCk........................:.:...:_....�.r�JL..........�. "' .. ....... . - <br /> . _ —% �........./ <br /> . ..L!J.- '��....SC[CC6 <br /> No..._�.. .: .. ........ . . .. <br /> --..c--��..�\".�.�_��.....�_...1..�s'..��'__'...::..........._..... <br /> � ............_.. .. <br /> � �. . ......Pl�mber <br /> - The wark ta be executed by......,,-..� ��. .,.,-. . �.c......... . <br /> � � _. � .�.... a ��. �A,l, 0 � <br /> sco�c/� A�Z� oF �n�,. <br /> 7 <br /> ._�.=.__Tnp to be inseeted in the mnin. �? !1 � <br /> � ...............��'nter doset <br /> ...',�..........Batli I <br /> �-, <br /> ....-.........Urinnl -�/ <br /> ...,.-,-.._-.....Plnin fnucet inside � <br /> 1 ....Sidc o'nik �va,hcr !� <br /> ..../�'......Hosc bib outsidc <br /> ,,.,_-:........Hose bib for building Purposes <br /> ..._.-..-......fIose UiU insidc <br /> ...��.:.:......Bib for slnblc contnining....................stall.................... . <br /> "-"--�-..Numbcr of persons in fnroily <br /> .............. <br /> ...,..—.....NumUer of rooms ir. buildin . r -c- <br /> .:C�I.,,%k.:?.:��:5..�1.. .. .Z( <br /> The premises nre to be used ns n.�. " � <br /> ......_.._..................._................. <br /> The owncr of the prem' es ' .-_.....__............ �. �� <br /> � : . )..�,::... <br /> The nGent is.............._.. .. G.'_.:.LG?.........._...�. � �s,�..2..."._C��dt:.l........... <br /> Thts npplicntion, nithougl� siFned, slmlt not bc binding uron l0c Cily, until <br /> ! by the Superintendcqk�of the Wnler Depnrtment. <br /> i ; / <br /> � /L! Ld-��<�/�<��.-...:�...`...`-.-...........APPlicnnt <br /> Si gn e d./1......... ............................... <br /> /� ' �� .....19?..,..., IIY'-..�._��_..................................................... <br /> �-(���--�����-:�•����"'� Superintendent <br />