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�L�.:l.'�i�_(t_.L� �-� i � C �'� C/ � � � . � <br />� i ' � ' �—��v C`.�-LQ c2 ' � :. � ;{r, � ' <br />�'�. �. }bno a- 4 iou--li.P.Co. 4-'.G�24 <br />Ci�y of Everett'--�Tater Depaz�t�m.ent <br />�ATION FOR WATER <br />. lll Ll.mi;s must Uc fiiled in or crossed out <br />r' ,� ' ///�� // <br />liveictt ................�-�Y��.��-.�.�/....l�...._...... � ._'102..,% <br />� -r� -•�� -3i'F,I2lNTEND�NP OR TI?P IVATPR DEPARTSIENT: � <br />CITY OL' EVE'.2�TT: <br />I L+m�eLy sPPiY for the use of n�atrr in accnrdance �vith tl�c ruir.s nnd regio- <br />lutia�s of the �9nter Department, for purposes and fixlures stnted belom, <br />lluring the ti�ne tlmt nny of thc water maius �nay be taken up Ly rcason <br />of any improvements authorized Uy thc City of �ccrett, in or of •uiy strcet or <br />alley in which they may hnve 6een Inid, the City wil! not bc requircd ta {urnisli <br />water during ihe progress of such im; rovements to any cnnsumer whose supply <br />muy thus be cut off, or��e liabJ¢-for ;.ny d:uu.:ges for its fniluro so :o do. <br />Application No.. - - � � C <br />'..,) ............... j I <br />Blo�k ..... Lot �.1..� f <br />_... . . . Add.. <br />.Io�7%�� ���_���. �.-«i i��d �-. ..._� ;._-.. <br />( �.-��..�� Strecti�� d �lt/�!`� <br />L.� �� �...I\�i��JI .(`...'_\.:�......,(.^.'".�� � yc.a._// .....................J..._...........� <br />The �vork to be esecuted by./.�.pb........ ...�...�.....PlumUer <br />... ...... . ._ _. _....._........ <br />St� size of tnp. � <br />% <br />"�--��..Tnp to bc inscrted in tl�c mnin. . � <br />�. . <br />--- � � <br />................Natcr cicset . � <br />_— �_ ./ <br />................Bad� � . <br />... �-:...Urinal � � � �_�� j� , <br />..._Z.Plain Lmcet inside jI� / <br />.......... Side }cnlL- tvnshcr ���;'I'.: , '...-,.' <br />���_... �......Ilosc bib outside <br />�.._.:._:_—.Hose Lib for Luifding purposes <br />......::.......Hosc UiU inside <br />...........—Eib for stu6le contnining......._...:.......stall....._ ............. <br />•���...:_".�..Diumbcr oS persons in family <br />��.-�.-::._NumLer of rooms in bu�lding <br />The premises a:e to be used as n.......... ' ' <br />__ .. . _ ......._ ..................._........... <br />The owner of the premises is.._�... <br />/ . <br />n_ ..._T/:.r..c.���..-:'_-::5........_..._.._. <br />The .:,�ent is ..........................................._4-:-:�....... <br />.............................................. <br />This npplication, nithou�h signed, ;hnll not Ue binding up�.�n the City, until <br />nccepted Uy the Superinte dent of the t'Va;ei �Dep tme�t. <br />Signed..L....�.��1./..�?G�J..,� .........._......Applicnnt <br />. Y �� � <br />Acceptc3.........� -.L`._...102,7' 1'( � <br />. �.. ...... . ............................ <br />� uperintendent <br />/ <br />