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� .i- �z- ai-;r <br />w. n. ro«� a— ��ou—e.eco.-6 �c.se <br />�<.�a� s-�> - �; �- �r � <br />City of Everett�-�Wnter D��ai �inent <br />APPLIC�.T�OI�T �UlZ �T.�TE�� <br />All bt:ml:s must i�e tilled in or crossed out <br />Cvcrett�..........._G.(,,."��/��'�......:�...._..........1�2�� � <br />........... .. <br />PO T'.IP SUPiI2INTENllF,NT OP TIIF. P,'A'PR EPARTn4I�:NT: <br />CITY OP LVPIP.STT: <br />I hrreby npply fnr the u:,a uF ���ater in accordance wi;h thc rcles and Tegu- <br />latimis of the �Vater Department, for purpo=es and fix!m�es ahited Uelow. <br />During tl�e timc thnt miy of thc �*�ater mnins may Lo tnl;en np by rcason <br />uf nny im]uoeemcn6s author'�zed Uy tUe Cily of licerett, in or oi anv sLreet or <br />ulley in �vhich they mny have Lcen la�d, t.hc City will not be required to furnish <br />v:ater duriog tlm ptrogress of such imp�ovements ta nny consumm• whose sui�ply <br />ur�y thus i�^_ cut aif, or be liable for :yy damages for its fnilure so to do. <br />,�j/' , � - �� � � � <br />Applicatioa No...... .._,r.....r..7.......... <br />Blocic..............�.../..........{....'� �tJ'................ . ....._......... Add....._..__._.__..........._ ...... <br />i4o._..... �„/..3✓....... .�Z�//iG�.���.�!J7�Strcet <br />..... ._ ... ..............._.._..................................._._. . _.. ... .......... <br />'.Chc work to 6e e��.;.ated bY....._. _� l. . .//�......_�...........PlumUcr <br />S'at�ize of tap. �" / ��� �� <br />�� / . y <br />S'r.._Tnp to bc insertcl in thf m!.in. _ . <br />........�.....R�ater closet � <br />......�.......Bath _ . -.� ;,� <br />. �.I-��-�. .. . � . ..,.. . . <br />...._.c--...Urinal . ,..: <br />.... G` :.............. . _. <br />......Z Plnin £aucet insedc ' <br />.......__�'S�dc a�all: �rasher <br />......%...._I�Iasc bib ouCside <br />......._`-..Hose Lib tor Uuilding purpose; <br />....... ..._IIose bib in�idc <br />..... . ....IIiS fot stnble contnining ....................stall................. <br />... —'—.Numbor of Persons in fomily <br />.--... <br />._.�.NumUer of rooms ;� building /�/�J, <br />Tlie prmnisc:a ure tn 6e used a�a n�_..{.{_l::..:.?�......./i.__....._..._.._........... <br />Tl�e omner af Uie Premise, <br />The agent is ........................... <br />2his n�� <br />apted by <br />......102...... <br />......................................... ............. . ..... <br />be Uln::ing u� on tlm City, until <br />`�� e� 'I <br />� ' 1 <br />