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v <br /> P:.il.Po:in A- :FIN--Ii.P.Cu—C"G Yd . , <br /> City of Everett����jater Department <br /> 1'�PPLICATIOI� FOR VJ-AT�R <br /> All blanLs must be filled in or crossed out <br /> J <br /> ������c,..__._ `� �/o-...../._7. .. _...isz.G. <br /> � 1'O T1IE SUPGRINTCIJD�NT OI'�f�qTP•.R �D�PART3[F1'T: <br /> CITY OF �V�1t�TT: <br /> I hereUy nPP�l' for the use of tealer in nccards�ce tt•ith tUe rulcs and rvgu- <br /> latiuns of Uie �Vater Deparhnent, for purposes and tix!ures stated below. <br /> Duri�,ig ihe time thnt nny of f.he watcr mnins m:�y be tnken up Ly rcason <br /> of nny ic!piovements auLliurized by the City oi Everett, in or of any strcet or <br /> aliey in �vhich ihey� may have been laid, the City will not be required to furnisl� � <br /> �vatm• dm�iug the pro�;ress of sucl� iwnrovem^nts to any consumer whose supP�l' <br /> m:ap tlms 6c cut uff, or be IiaUle for any damages tor its fnilure su to do. <br /> Applicntion No.... p..- .. . G <br /> 0 .l-.1........................ L.5 8 $ <br /> I3locic _.�..� 5 Lot .��_'-%/ S dd <br /> _. .... <br /> . . ... ..... . <br /> ... ... .__..... <br /> ._.............. <br /> No..����c'C i <br /> . . _. ........... ........ . ...........Street <br /> ? �' 3 / ....._.......... <br /> �-..-- �:.�,. �l <br /> _ _ _ . ... <br /> Tlic �roil; to 6e e:.ecuted by_. ._... d� Q£ . ...PIumU �, <br /> ./�.. .._. �G — l�`�' .u� <br /> St�� size of t�p. ( . <br /> '.7%': <br /> __��.Z...Tup to Uc inserted in U�e main. � <br /> ��_�.�.--......iVater closet <br /> .....-.-.....Bath <br /> -.....-�.......Urinal �-, <br /> .._ =.......Plnin fnucet inside � ..��• <br /> ........—..—...5ide wnik wnslier <br /> _..1..........Hosc Uib autside <br /> -__ <br /> .___........SIosc biL for building Purpases <br /> _—_ <br /> ._..........._Ho=_e biU in�ide <br /> ....... ...BiU for stab]e containing........._......._stal]_.._........ <br /> — <br /> -���..-.........ATumbcr of percons in faroily <br /> -_-�_�......ATumber of rooms in Uuilding �p 1-� <br /> The pren�,ises nre to be used ns n.,�:�,�J'�i��i- n�� ^ <br /> ...__ .. .....U"�J. '.........._. <br /> The owner o� the prc:iises is....��.v�/..�.... .�j-.. ...... <br /> .. ._,,.. 7.l!<.+-rii il�..._...._. <br /> The agent is.......Li_/............._.... ..... <br /> .. ........_._..._...._........_.................._................... <br /> his application, although signed, ::hnll not be binding upon the City, until <br /> =d by the Superintenden ��; � epartment. <br /> � gigned..�..:��._....✓...��1-.,`�`..�.-�� . <br /> y ' �/y� �� � Applicant <br /> . ._..���l...-../.�. .. .!32.��1.. gy_... ... ... .. .. .�_.... � <br /> / / . .. ..... <br /> �T�... Perintendent � <br />