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�if-`-�d' G-3n 3ri <<.�.c.i ii/,' G-_/c-g''_%r, <br />� <br />�\Y. II. Fnrm J--16U0--E.P.Co.—'u-^.G-2C <br />Ci�y of Everett��later Depart:nent <br />APPLICI�TION FOR WATER <br />Al1 blanks muet Lc Sille� in or crosscd avt <br />Pverett� ............. ............._......_�L�.� �-'._....._...........1�� <br />TO TH� SUPERINTENUENCITY OF PVGI{liTT;DF.PAP.TMEN1': <br />I iiereUy nPP�Y for the ase ut �eater in accordanca with U�e rules and tegu- <br />lations oF the Natcr Depnrtment, for P'i�'P°yes und fix�m�os stated hclo:v. <br />Dcring tlre time that any of lhc �cater mains mny be taken up by reason <br />of nny imProvements nuUinrized Uy Lhe City of Everett, in or of iuiy strcct or <br />uLcy in which they may have hcen Inid, lhe City will not bc required to furnish <br />wutcr dm•ing thc Progress of sr^6 imP�'o�•c�nen!s to nuy consunmr whuse supply <br />may thus Le cut uff, or be linblc tor •iny damnges far its fnilure su lo do. <br />_- <br />Applianliun No....._....._`�OS�.-1...... '�l- .y. <br />__ Add......_... ...__. _..__. <br />Block............_..........__.__....... Lot...o3.�._.....__.._...._.. .__. ._. <br />i1o. ._. ..� �.0, .`'�...... ��: �.r�..Street <br />.._.. ..._...... . <br />. . ..._ . .... . ...... <br />. _ . .._......_ ... ... <br />.... .. . . ..... . . .. . <br />The work to Ue exccuted by... . �C-�-�--0rr/.Jl� -���-�- F'fumber <br />St te size of tnp. (J <br />��_��. Tnp to be inserted in the m�in. ��� <br />._. p� • <br />-'„ �,,,, R'nter closet 1 �- <br />......_...--..Bnth � �� / <br />,L .....Urinnl � <br />................Plain fnucet iriside <br />...............Side �vn)k wasUer <br />___.`......Hose biU ouLsidc <br />........_......}Iose bib for Uuilding Pm•poses ./' <br />__._..- .- .�:.FIosc bib inside <br />�� <br />._............Sib ior stnUle wntnining......_...........stnll.._........ ..._ � <br />�� Numbcr of persons in famiily <br />�... <br />....,......._NumUer af romns in buildin /-� _ • �_�.�..—...�...... <br />Tlie prmnises nre to bc used as a...... �¢�'��t,—n�-��-` . ........ <br />_� <br />The owner of the premises is-�- �. .(.�`-4•*'�-r"------- <br />. <br />Thengent is .................................................................................................................. <br />This npPlication, nithough signed, chall not be binding upon the City, until <br />nccepted by tl�e Superintendent the Nnter Departmentj <br />...... . .... '�/ ....................ApPlica t <br />Si tte�............ -�ltl'�.... <br />.. ..... ........ .. � <br />' --._� � —/�— ia�0 Bv._��.t,t-�GJ�,.rI=-%' :_........ <br />