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�� �� �As, <br /> � 3�a� <br /> '�.'.. �a. .. <br /> � t�, <br /> � � �� x � <br /> � ti4 , <br /> � � ia"��'ko" 4 <br /> „ <br /> � �. :V,.�� .. ;v. <br /> -• f �1�.'/C. �C--r�l.�xL-t� a'_� � l�la `3�'y_Y <br /> ll'.1�.I'i�nn 1 I�t c""E.I`.Co.-�Cu:! � � 1 <br /> City of Everett�Water Depai�tment <br /> APPLICATION FOR WATER <br /> ' :111 Llanks must bc filkd in or crossed out <br /> Evcrett..................1. .../................_,,..................102.(�. <br /> TO 1'IiS SUPERINTI�:NDTNT OR Tllii R'A .F.R DPPARTMLNT: � <br /> CITY OI' GVCRETT: <br /> I he�e6y nDP�l' tor the u,c u.` �cater in ncccrd:mre •.�'ith the rules and rrgu- <br /> Inlians of the R'nter llepnrtment, for purposes nnd fis�w�es vtntcd Uelew. <br /> During thc lime thnt imy ot thc �r.:ter mnins mnp Uc tnken up by reason <br /> of :mp inprorcments nuthori�ed by the Cit}• of E�•erett, in or of w�y atreet or <br /> ❑Iley in �rLich �hep m:q• hnce been lnid, thc City will uot be required lo fm•nish <br /> a•nter during the prugresx ot such impro�•emenls to �ny consumer wh��e supply <br /> m:�y thus Le cut nit, ur�jbc Ilable for :my dmm�ges for ils fnilure so tu do. <br /> Applicntion No.....Q...�.��............... _.. , <br /> Block.....�9.�...p._y_......�I.ot._...'5.-.........:..:......_... Add.. .._.._. _ .._'. �_ .�._ __�.....- <br /> :�n......�.S//.�l/L���'ii!^�`6trect I <br /> . .. . . . ... .. .. ...._ . .._.._..._..:_.....................__._..........._.._......_...... _...... ........................_... <br /> 9'Le ��•ork to be executed by... ._..��. .U.O ._. _. . ...... ......PlumLer <br /> �tnte =_ize of tnp. , � <br /> ._/��....Tap to 6e inscrted i�i the mnin. � F� a .+7"�� <br /> ....../.......Note^ claset � <br /> _...:........Bndi � n 1 _ 'i�9�' � <br /> �� L�.u i... O <br /> -- `�ii�Tcl� G�_:' <br /> _ ____....Urinnl Cli'( Of EVER• <br /> Z.....Plnin Inucet iusiJe / /.......�.........«......... �. <br /> .._.. . .!'(.............. y� � . <br /> . __-.....Side u•ulk u•ashcr � . . <br /> . ..I._.....Hocc bib outaidc -, ' . <br /> -::...:....IIose biL for builJing purposes •�� 1 � <br />. .. . ._.-�._.Ilosc bib inside <br /> . ..:.........Bib for stnLlc conlaining....................stnll............._..... <br /> ..._.....- .�.Xumb�r of persons in femily <br /> -�. / . Number of rooms in building <br /> The premises nre to be used as n... <br /> ....� . .___. <br /> 7hc owncr of Ihe prcr.iises is.:��� ��¢-c- �, <br /> . Tbe .�gent is_..........................�........__..__ ......_._ ..........__.............�......_.... � <br /> �fPhis ��pplicntion, nithough vi�ncd, ;hnll not be binding upon tlte City, until <br /> thc Sup��crintendent >f t e "Vntcr Pepnrtmrnt. <br /> � 1�Gn � . <br /> . , SiGned..�. . .�,(!.. .."_.�.�.�. . plicant <br /> ..... ... ... � <br /> �.. <br /> l � p �.� . >`��.___In,�. By.... � <br /> ' c led � �, / <br /> . ./-. r-/N��G%' ................... <br /> � �.-�. . �JQ%� `/ _ __,-f-- . tendent <br /> � <br /> �i_: <br />