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�:.t�-.. 1 l'{ ''L—` c . _ : �.��—i�—'--ri i - ; �i +?. : . <br /> i, <br /> W.b.1'onn 4'�4G00—E.P.Co:-fi-EG-".i <br /> Cit�= of Everett�Water Department <br /> API'L�C�iTION FC�R WATER <br /> All Llunl;s must be filled in or crossed out <br /> Ih•crett�._............_./ —.... .�_. ........102�. <br /> i <br /> CO 1'Illi tiUl'I:IiI\1'GNDF,N'1` OP TII :1Ti:R D�PARTil[LTT: � <br /> CITY OR �VERLTT; <br /> I hereLy apply for the use oI �vater in accordan�•e wilh thc rules m�d regu- <br /> lations of the R'nter DaparGnent, for purpuses rmd fi��ures stated Lelow. <br /> Dm•ing the timc that any of thc �rater mains may be fal:en up Uy reason <br /> of any improvenmuts authorized by tlro CiLy of P•,verett, in or of any st.cet or <br /> nllcy in mUich thcy m;iy h:iac Ucen laid, thc City wiil nut bc required to furnish <br /> �rater during the p�rogress of sucli intprocements to any consumer whose suPP�Y <br /> may tLus Ue cut off, orG U ](�iuUie for :my dumnges for i[s tuilure so to do. <br /> Application Nn.....Q.�_L..7._ .....�..."7/ G'7 <br /> Blodc /....... .. . Lot . .... . .. .... Add.__.. . .____.... __...._.... <br /> � ;Q. !�L�.�......�G�.r�t-. ��.....-�, �..........Street <br /> ... _...............__..._.............._.............._..__....................._._._......_....... ..................................... � <br /> Thc •a�m•lc to Lc executed Uy......_...._._ _�_�.o .._........... _.._..._.. ..... .Plmubcr <br /> State size of tnp. <br /> / <br /> ..�/�..Tap to be inserted in the main. <br /> __.�.......\Vnter cluset <br /> .....(_._.....Bnth . � ,� � <br /> ....._�......Urinal ' '� <br /> _...2.-...Plain fnucet inside � ' <br /> ._.._.-.:...Side �vall: wnsher <br /> ._...f:-..:Hose Lib ouC�ide <br /> _...._�...Hosc bib for Uailding liw'lioses � <br /> _.,...--.._Flosc bib inside <br /> ...._-�......Bib for stnble containing................._stall....._.....__.... <br /> .....-:::......Nwnber of persons in family- <br /> ..��-.Nwnbcr of rooms in buildmg <br /> The prmnises cre to Ue used as a.. .._. .. . ,. .___.., <br /> ..p//� <br /> The owner of the prcrtiees �s . _.. /� <br /> � _. <br /> (/�.'.. .. ..0?�S�(i-�� <br /> ...... _ ..__. <br /> Thcagent is.........._...................__........ __.__......__........_...._....................................... <br /> This npplication, nithough signrd, .;hnll not Le Uinding upon tl�e City, until <br /> nccepted Uy the Superintcudcnt of tl.e Nate Depnrfi ent. <br /> � �. �:..��� <br /> SiSned...._..._._.. <. � . Applicant <br /> . .......... .... <br /> Accepted...... O�..c�.c��192...... By.... . . ... _-_...._................. <br /> Superintendent <br />