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<...����,/_•:e���.-� . . ,,�k,�,�Q �_ �f- 7� Y.� � <br /> . �_. <br /> tc.o.eo.�<-tsoo-e.eco.-s-2ssa . <br /> City of Everett--�W�tei� Depni�tment <br /> APPLICATION FOR WATER <br /> � r1ll bl:ml:s muat be filled in or crosscd out <br /> G�.�retc............." .....y...,.z...�_'............................1�J2..... <br /> TO THE SUPfiRINT13NDE\'T OP TIIP \FATF:G UEYARTIIGNT: <br /> C1TY OP EVERCTT: <br /> I licreLy npp!3' for the uve u[ ��;der in accordance �rith thc rules nnd regu- <br /> Intions of lhc Nnter Department, for pm•poses nnd fistures stnted below. <br /> During thc timc thnt nny of ihe ��•atcr mnins mny bc lnken up Ly renson <br /> ot nny improeements nuthorixed by the City o[ F.cerett, in or of nny street nr <br /> �Jlep in which they mny hnce been I�id, lhe City will not Lc rcquired to furnish <br /> «•nter during the pruqrey, of such imProvements to nn,y cnnsumer w•hose suPP�Y <br /> mu�• thus 6e rut uff, or Uc IinLle fnr nny dmm�ges fur ils tnilure su to do. <br /> Applicntion No.....��..�..C/..-3............... � <br /> ISlock..............:.._��....:............. Lot...........j._T..:-, . Add. ' i .� . <br /> . .............. __.....__.................._.. .... <br /> \o..-�l�b a>.../�jt�u..u���G.,,�<��...Strcet <br /> _ ._ _.... ................................................................._.......................,..................................... <br /> The ���ork to be executed by......_..�a�......_._ _..........P]umUcr <br /> $L1:C 612C Of LA�. <br /> ...�?......Tnp to he inserted in thc mnin. <br /> _...(....._..�Pnler doset <br /> ...../........Bnth <br /> .__L.....Urinnl <br /> .....�.......Plain faucet inside � <br /> .......L....Sidc �•ulk �cashcr �/ <br /> . $09C til� 011�81(�C , ��1 � <br /> .....�....... . <br /> ......�'"..._Siosc bib for buiWing purposes � . <br /> .......�.`....-....Hosc bib insidc �/) <br /> ..._�....Bib for staUlc contninin�......._...........s[all... ��. S �_ <br /> ..._�/ -::...Numbcr of persons in fnmily r ' I � . �( 1 ' • <br /> .__(�.......Number ot toome in building � �_ i. :' <br /> 'nc premises nte to be used as a . .._ . <br /> . ... . ._. .. ._. <br /> - r n�cmer of the premises `ic .- j'�7?��//(� ' . u/�� ' _,. . <br /> rnt is...... .. . . f') � . /�...�� . . ..............._.. . <br /> .. . �........ . . <br /> .p�licntion, nithou,^,h ��i;tned, ahnll not be bindi g upon the Cily, until <br /> ��S thc Superintenda�i �f t,hc Nnt�De�.p/nrtment. <br /> Signed...�.._....... . �_�.YL�G/%�(�*�✓`..:l1/.:1.................Applirn <br /> ,�—.� ��..... ny.. �q�../��/�,/. ....................._� <br /> _ �'��%�i�IL -n Superintendent <br />