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' �^r�l I f��y-- /5 ''�/ �' <br /> , ��� l c ' I ( '?G�(7 i�-} <br /> 1C.i�.Pnnn.�-3Gu0—li.P.Co.—�,G-2A • <br /> City of Everett---Watei� Dep�i�tinent <br /> APPI:TCI�TION �QR WA�ER <br /> .111 bLml;s must be iilled in or crossed oub <br /> i � _ <br /> �ccrett,.........../.... ..L...S..................... .........._1D2�.. <br /> TO T?l� SUP�RI�;T�NDCNT OP 1`I;P lV'.1TPR UEPARI'\fEA"C: <br /> CITY UF LVLd�TT: <br /> I lim�eby app;y for the use of���a(er in accard:mce with U�c rules and regu- <br /> lationv oY t6e Natcr DeP��'rment, for pm�puses and fixtm•as st.ded bclow. <br /> Um�ing the time that nny of the u�atcr mains mny be tnl:en up by rcasun <br /> of ary imprnvemen6s avtLnriud by thc City of Gccre.t, in or of nny atreet m• <br /> 'd��Y in whirh :hrg� mny have bcen In[d, tUc City �vi11 not I-�c required to furnish <br /> «':tir dwicg thr progiess of sUch �u;prot•=meuts to nny cu,e�imer trhose �nPply <br /> may tLus be c�t nff, or/r be liable for any damaPes foc its failure so Lo do. <br /> APpiication N��...0 3. 3 �'- <br /> C <br /> B�o�K.......`�.'..._�/ `� Lot......':�_�Y;... i.� ' � . <br /> ........ _ . _.. Add............ .. <br /> . ....._.......__... <br /> No.. ....� Q�..._.al.1/_Y.c,��. �.�� f� ..._Sfreet <br /> �... . <br /> . _.._.. . _ ._....... . . . <br /> .. _. . '_Y,. ...... <br /> � � .... ..........._. <br /> 1'he work to be executed ty. _ _ ..._ � c•,— <br /> �������- . � ._..P]umLer <br /> Slatc sise of tap. �� �O �r: <br /> ���`L.-....Tnp to be inserted in the main. '— � � <br /> ....1........_\Potcr doset .-.�;. � ' . <br /> ..._/--.....Bath � . <br /> . ._._---......Urinnl ,' .. <br /> -...2........Plain faucet inside . <br /> .__-.--:...Sidr �vall< ���a.=hcr <br /> ����..�......_Ho�e biU outside <br /> ..--. .._FIose bib for building pm•pases <br /> ...._.^.._fIosc biL iuside <br /> ..._-:...�:...Bib for staUlc wntainin�......_...........stall..........-___... <br /> ........:....R'umber of Persons in family <br /> �'`..Nmnber of romr.s in building <br /> .............. <br /> The premises m•e to be useci ns ._ _...��,c./J � <br /> ...__....... <br /> TI�e owncr of the premises is.. .... .���i <br /> i <br /> �`'-,r,cL..... . . � �-�_. <br /> ..,.... <br /> .......�...... . <br /> The ngent is........... ................. <br /> .....--..._...._................_............... .-- <br /> ............ <br /> ,.,� ,_ ..................... <br /> 1PP��c:ition, nithough ,igned, ;hall not be binding upon the City, until <br /> ^� .;. .. by the Suncrinzeudent of thc R$tcr Depnrtment. <br /> / �( <br /> Sig'.�ed..,:;_.....:..U.�'.�^�..LG� ; <br /> > <br /> ............. ............._........ <br /> ; ����,'.-.Applicnnt <br /> Acceptid.. ...:.........._...............132._._ B � � � <br /> . Y......:.:....�..... . <br /> � � � . auperintendent <br /> w <br />