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�.�c� ��7' �.�,�, O 0 :: r_r f.'i �. <br />� <br />P:. ll. Fnnn 4--IGa�-7:..^.Co.—G.2G2d <br />City of Everett���ater Depai�tinent <br />APP�ICA?'IC�N F��R ��ATER <br />AIl bl:mks must ba `.ill��d in or crossed aut <br />P•.�icratt .....................L......`.._�............................._..1'J°...'..5: • <br />TO TH� SUP�RINTliNPEN1' O:� TIIP R'.'1TER DEPAIiT➢SliNT: <br />CITY OF EVEI:ETT; <br />I hereby appip fur the use of weter in accorJance with the rules und icgu- <br />lations af thc \Vater llepurtment, tor pur�mses ::nd fix�m�es stated Lel::�c. <br />During the time that nny of Lhe tvater mnins msy be taicen uP hS rca�on <br />of any� ir.�provements authorized by tha ::i:y o: Gvcrctt, in or of nn}' e:rcet or <br />clley in which !hey may have bcen ]aid, the City will not bc repuired to furaish <br />w.�ter durin� tihe progress of such impro��c�acnts to :my consmnur whose ;ur� �ly <br />m:ty thus 6e cut off, or be liable for nny da:nuges To!• its fr iiurd su to do. <br />t- I� i j�:' <br />Application No.._.._.�.�1...3...�......._ ; <br />Block........_ ............................. Lot...."..3.._z�.....�.,...___._. A$d...........__....__._._. <br />Na... ��% �.Qf�" ��.., S. �Y'�/�St.reuf i �i'- �\J�(' . _ ,. . <br />... _ :) l e'l; _.�%% �._�� cL-^ _ ....��.2 _. . . .. .. . <br />Tl�e work tu bc esecuted Uy.. .. __. _.. .. .__. . .... ....P1umLer <br />Sla size of tap. � <br />.�..�..Tnp t.o bc inacrted in th�: main. <br />......--�..�va��� �ios�t <br />................ B n t h <br />'__...-.�:....Urinnl <br />.—...—...Pluim faucet inside <br />....�.-...Side �valk �cashcr - . <br />.�.�..�....Hosc bib outside <br />—�Iosc 6ib for building purposes <br />�� �. �- -�v <br />- �-�-°,.� <br />Q,-a.�.�� � ��--�� <br />��-�—�--� <br />c 0 <br />0 � <br />�� 5 ��- I <br />................ jjj���---��� <br />..._�.-...FTrse bi5 inside ��f� � <br />— � <br />..._....-_-...Bib for stablc containing .................... tnll........_..._.._. <br />._...`:.Number ot persons in fami]y <br />..�.......Ntimber of rooma in building ' <br />The prem�ses are to be used as n.__.. ... - '�' �� <br />' . � . ..._'...__............_�..__....... .._......_... <br />The owner of the premises is....._....__.__ ....................._......................._................. <br />r� n a6ent is .........................................._.._....._.........._._.._..._...._................................ <br />.'Lis npplicr.tion, nll6nugh .=igned, cl�all not be Uinding upon tlie City, until , <br />�cepted by the Superint�ndcnt of the Watcr Dapnrtment. <br />i /� <br />Signed..�yj:�?:...�(...�1.:..,.r....�z:cc. _ ���L�j Applicnnt J <br />/ P <br />:....�eea ................ ......3t'...io2� ny... � . _, _,.... t <br />.......... <br />� �`- 8uperintendent <br />�_ <br />