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, <br /> �ic�o( �;,,,,�� . y ,�. . ._d, ��i r_i, , 'x,d <br /> , €,�,- "' � '' <br /> �s.n.r�����a_.tsoo—s.r.co.—c�ss.za <br /> City of Everett�Water Depai•tinent <br /> APPLICATI�N rvR �3JATER <br /> All Llanl;s must bc filled in or cro;sed ont <br /> 9 <br /> r.����<<r...:..........._...........��..................................._inz`f <br /> 1'O TII� SUPLItI\TCYDIsN'P OP THP l\'ATLR D�PAP.TiIIIi�'i: , <br /> CITY OF EVE:ETT: <br /> I hereLy app;y for the use ui water in accordance �t•iUt the n.:lc; aud regu- <br /> lations of the R�ntcr Ucpurtment, for purtioses und fi::fmrs sterted bcl;ne. <br /> During the time tLa: miy of the n�ater mnins mny he tal;en uIi 6y roasun <br /> of any in:procements authoriud by thc Ci;.y of I:��erett, in or of any slrcet or <br /> � ulley in �vhich they m�y I�nce 6ecn laid, Lhe Ciry will not bc required to furnish <br /> ' w�ter dw�ing the progress of such improvemcnis tu any co,isumcr wLose supply <br /> m:iy Ums bc cut off, or be IinUic for :my dnn::�gcs for its fuilure so to do. <br /> Applicnt'on ha....g.�3..�................ <br /> �� � / � � <br /> F31ock... � ....... . . .. Lot �� Add_. . <br /> .. ....... . <br /> ......... .__ _......__.... .. <br /> A`0.._I.SOI .....�u "=�S/.-`-V�_...................$C[CCC . . . �. <br /> . � <br /> ....._. .__......__...._..._..._._.............._..._._............_._................__... ......_ _...__...__............ � <br /> r <br /> Tiie �vork to be executed by.. ... .. ..... _. ....._.. __..._. . _. . .._....Plmnber " <br /> _ __.. <br /> '1 C �12C Of tAjl, <br /> .. ..:f.......Tnp to be inserted in the mein. � ��_ I CS� <br /> ...._..__....R'n:cr closet <br /> ..._...........Ba[h <br /> ................Urinnl <br /> ................Plain faucet insidc <br /> .__........._S!de u�alk �cn,her <br /> ................I3ose bib oulsiJc <br /> .__........._fIose �m `or Luilding purposes <br /> .__...........flose biU inside �� � <br /> ................Sib Cor stable cmriaining....................stall.................. <br /> .............._ATumbcr of persons in femily <br /> ..............NumUcr of roums in bui]ding <br /> Tl:c P�'emises are to be used ns n___. �' ._ ..A . <br /> . ........ .. ................. <br /> The o�vner of the prer.iises is._.. ... . � <br /> .���� �. <br /> T6engent is..........................................._......................__......._............................... <br /> This u��plicntion, although signed, shnll noC Ue Uinding upon tl�e Cit}•, until <br /> accepted Uy the Superintendcnl of the �VaCer Depar`tm1ent. <br /> '�aigned..���-�S,..I"��-�� �y� ,� /1 <br /> ....'.._...'"""'�"".._.:4f.........�.4:�-u:-y—��PPlicant <br /> Accepted.__�.._./��---�� B . ; .: <br /> _. ' .. . <br /> ... ....... <br /> ���� rinte�ident <br /> .... ......... <br /> ` T� � <br />