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`_---.� .� .. ,y .�.�. �r <br /> - . � �� �7' >-"_/- /j.�i_i l� <br /> ���4 Furm 4-7�00--E.I'.Co.-6dG-24 <br /> City of Everett--�Water Depaltment <br /> APPLICATION FOR �,TATER <br /> All b]anl.s must Ue filled in or crossed out <br /> �-__ <br /> �vcre[t.................._......../ ._3 <br /> TO 7TIE SUP�RIIJTBND�NT Oh' TfIE �pA'Tl;g DSPAP.TI�IEN'C; .....19?�..... <br /> C1TI' OR �VI;nrTm; <br /> I hereby aPP�Y for the use of���ater in accnrdance with the �vles nnd regu- <br /> Ixtions uf tha }pater Deoartment, for pm�poses amd fis+m�es stated bclow, <br /> lluring the time that aoy of tLe �vater mains mny Ue tnken up by reason <br /> of nny improvements anthoriud by t}�c City of Everett, in or oL any sLreet or <br /> alley in ��•hicli thcy mny have been laid, the City ������ not Le reauirod to furnisU <br /> ` �3' thus�be c�teoff,�orebe I uble�for�ny damages�for rts fuilu�rerso toSdo,Unlily <br /> ma <br /> APPlicntion No.... ........ - 7 � �[ <br /> y�f.¢... . . � <br /> ... <br /> B!ncic............ .�.1..._r.......... LOt. . � �� i' . <br /> .. ..i._n.. . ...._ . t . % � <br /> . ._. Add...?_........._._'...'d ' � - <br /> xo..... _/.��o G _:. <br /> ................ .....r/7r� treet <br /> ............................ <br /> ..................................... <br /> . ................. .... <br /> Tlic work to be etiecuted by........_.......__� � � <br /> ...................... <br /> �..L�. . . ..__... ......Plmnber <br /> State size of tap, ���"-"'�" <br /> �_ �s � ` <br /> ����-a=-...Tnp to be insert^d in the mein. �' � <br /> -��-��..-....\Vnter closet � � ; . <br /> ......��..:......Bath /' <br /> _ -. ., .. . �. <br /> ................Urmal .. <br /> _ � , <br /> .-.�......Plnin fnucet inside � <br /> --���-......Side e•alk washcr � <br /> ......�........Hos� bib outside <br /> --���'.-.._Hose bib for building purposes <br /> .......-.....Iiose biU inside <br /> -�-� .......Bib for staLle containin <br /> _ �........_..........stall...........__.... <br /> -�- .Numbcr of person= i�, f:;ufly <br /> ........... <br /> ---�.Number of rooms in building <br /> The remises are to Ue used as u___,.. �'�v_J. <br /> P <br /> Tlie cwner of tSe preeiises is.....: . . .... i.................. .. <br /> ..........._.......,.,,-... <br /> ....COa.-c�. ..�.��....::_. ,� . , ��,. . <br /> Thc ag��nt. is........................................ ........_:... _ <br /> _..._�c-r'_ <br /> ......................................... <br /> Ch1S ❑ .............. <br /> PPlication, although signed, ^hnll not ba binding vpon tl�e City, unti] <br /> ted by the Superintendent of the Watcr Department. <br /> � Signed......... � <br /> ...................._ � ......_�.-,........_ . <br /> ........_B.� ...... <br /> ............... . PP��caJC <br /> .. <br /> ���.d..._.. � --.........102� - • <br /> ...... 3��� <br /> � <br /> _ - <br /> � . .. <br /> p�rcl�ni <br />