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,� <br /> 4:, .�x,d n - / -� %-�r. . . "`"`"t`:'� ,�_ 3_-'- .'�;�"- -�(. <br /> R'.u.I'orm a—]con—E.P.Ca-6-.G-PA <br /> City of Everett^ W��ter Depai�tment ' <br /> A.PPLIC.�TION FOR WATE:t� <br /> All Ulanks nmst Uc Liiled in or ccossed out <br /> Lvcrett.--........_..........�/� 1D`l� <br /> 7'O TTi� SUPCP.INTEN1�liNC1TY OF EVE 2PT�T:��P�ItT➢i�nT: <br /> I nereby upP�Y for the use oi water in accordance d•ith the �vles and regu- <br /> lations of the �t�ater Department, for liurPoses and fixtures stated below.rcason <br /> During the time thn� uny of t.he water mnins may oc caken up b,v <br /> �f :iny imP1•ovements autliorized Uy thc Ciip of Eccrett, in or of any strect or <br /> alley in which they may hnce Ur.en lnid, the City �cill not Uc required tu furni�h <br /> wuter dm�ing thr progress of such improcareents to any consumer whase supplY <br /> way thus be cut off, or be Ii:P�lc tor any damuges for it; failure so to do. <br /> O <br /> Application No....�..6.....:..��........_...... 7 o S S . <br /> � �:......._... .. Lo . Add l'�,�'-Latit.�....�f.:'.'_•�. <br /> ei��k............1......... ��.... .. .. ,_ ...... <br /> . <br /> ro........ ./_ ,5. _—_4�-._ . _.<<. ... . .�_G-�-��..scr��c <br /> ............................................................................. . ........ ..................... <br /> ....... � <br /> � ........................P1umUar <br /> The �vork to be executed by....................___. ..l <br /> State sizc of tnp. ° - . . <br /> .._, <br /> �)... � . - � � ' <br /> ,.._��_TnP to be inserl.^d in the main. .�. � ' � . <br /> .._...�.......«'ater cloaet '.. ' '.. ' '� . <br /> ..__�.......Bath � -. .� ' ,. . <br /> ....... _.....Urinal .� <br /> ....._y.....Plain faucet inside f�� <br /> ...._.�.._.Side «'alk ���asher <br /> ..../......._flose bib outside <br /> _.... .......Hosc 6ib for Uuildin6 P:��•Pusc:; <br /> ..__...�.....Iiose Uib inside <br /> ._...�......Bib for stable contnining...................stall.................... <br /> ,,.,,.�,.,,,..NuntUer of persons in familY <br /> ....��'.-...NumUer of rooms in Uuildin� <br /> T6 Premises are to be used as n..... i....... .. !i.C.n.....-..1.-..--._......;-g,.:?.... <br /> Tlm o�sner of the premises is....._.�.C/1.e.�-r/.�"L."-.-..�_�:�.€.:�..=�,: <br /> Theagent is..................................................................................................................... <br /> � his a�iplication, nithougU siFned, sliall not be binding upon tUe City, until <br /> !ed by the Superinten�nt of the Natcr Department. <br /> Sign�7................................ ....................... .. P ic. <br /> ....................... ... .. <br /> . <br /> �y —.......is2� sv.....�,�.�Dl�/�.� .. .....�!'...... <br /> ��d.....�L...-�......... mdent i <br /> � f <br /> , �� <br />