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�`..cE�,(' .7''G-� <br />11'. D. Forr� 4-i"u0U-E.P.Co.-G26.2C <br />�-r�.lLl.l-O( .R - J - ..l a ��7� <br />. � <br />City of Everett�Water Department <br />APPLICATI�JN FOR �,r.�TER <br />All Ulanl;s rmst be fiiled in or crossed out <br />�verelt ................_. � / <br />-�� ............... ............ _ _.....1 D 2..4� . <br />1'O TH,� �UP7:121NTENDCNT OR TI�IG tipATPR PEPAPT\IGn*T: <br />CITY Ob' EVli1:E1'T: <br />I����'��Y� �PP��' for thc usc oC �catcr in nccordance wi?h thc rrics nnd regu_ <br />lations of the �Vntcr Department, for purPuses and fis�.m�es str.ted belew. <br />Uuring the time thnt anY of thc wnter mains m�y be tnl:en up Ly rensm: <br />uF nuy ;ntproceumnts auL,yurized by thc Citp of Gvcre[t, in or ot nny sLrect or <br />❑llcy io which ihcy may Lacc been laid, th� City teill not be required to furnisl� <br />wafer tiuring the progre;s o1 such im, rovements to any con,umcr �vl�osc supply <br />uny thus bc cut off, or(��b�;nb�� f�;,ny �;�»����,� tor its failure so to do. <br />APPlir.ition Ao.__.GF..:--� y � <br />G ^� . .. _....._ _........ � <br />Block ...............O...A.. � � n <br />' / ._.... _ ___ ... Add.._... <br />.._� ..._......._.__ . ... <br />c�L�...�.� _. <br />No... i ..... �/_:���_�� �Street <br />.._.. _ ...._........ <br />_ . . ...... . ..... . <br />_.... <br />... .. .__.......... <br />1ne ��ork to U� c�ecuteJ by ...__. <br />�n� -� .....Plum6cr <br />Statc size of tap �._�cj.�s-Q Q .� <br />������.....Tup tu Ue mserted in the mui�i. �� ` n I-' �--�- <br />� - � � ' � . ��' <br />-.../.._.__R'ater closet I ` �'^''��: i 9 � ;. 'r � <br />...1...........UatS I .,,..I.�r: n � �' <br />:.O � - j �.�(� ��..: <br />-..— .....Urinal GiY' Ur EYE9ETT WAir.R [liii' f <br />.... <br />��-2- Plnin faucet ins:lc u; :�%� <br />...... <br />................<, �:... <br />/ ........................ <br />......._.......Side ���:ilk was}er <br />.�-.�_._.._..Ausc bib ou6,idc � �' � <br />�����.. .....I7ose Uib Sor build:'ns pui•poses <br />�-...-..-....Hosc Uib insidc <br />-��_."...—...Bib for stab]c containin <br />g....._....__.....stall .................... <br />�-������- ...Numbcr ot persons in fmuilv <br />-��� -. . Number of roouis in Luilding <br />The premises are to bc used ns a.._.. y� � • <br />.._.0� L�J � <br />m'�^ owner of tl�e premises �s �- � y._t_ �/ .. . -�--� <br />.. . _.. _ U-L. t r-iC__..� <br />agent is... .... ... .. <br />.. <br />�.._..__.._.._..___...__ ._ .............._..........._... <br />'��-i�"^ation, ulthough ' ued :hall not 6e binding upon t]m City, m�til <br />. y' the Superintendent of tho �Snter Departmrnt. <br />yyy, <br />Si r.ed... `— ��� <br />. E ,..�(..71`t_../ti�........d2. / ...............APPlicnnt <br />� � �... <br />� <br />�_...... ....__._.1�?/ B},..;j% , . <br />�' _. � <br />4_ _ ..... ...... .................... <br />_ , / <br />% L� _� tendent E <br />/ -- _� <br />