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`c.�i-o' I I-19-17 11. . `�:_O1-��._ci_ ;�> . � , , ,. <br /> u�.��.ta���—�ar,o—s.eco.c:s.za <br /> C;ty of Everett-�Water Department <br /> A.l�"°�=LI�ATION FOR WATER <br /> All Ula»ks n�ust Ue filled iu ot crassed out <br /> Pcerett,................/�/2 � <br /> ........................................_............10°�.... <br /> TO TIII; SUPEP,IidTEA'DLNT OF TIIP R'ATPR llPPARTilTliNT: <br /> CII'Y OR �V�IiHTT: <br /> I hereny appl}' for thc usc o[�cater in acem�dunce �vith the rcles and regu- <br /> In:in:is of tlia �Vater llepartment, for pwposes and tix'.ure; skricd bclow. <br /> Uuriu�, Uie time th;rt ar.y ot lhe �eatcr mnin.=, mny 6c tai:en up Uy renson <br /> o! nn}� improcements authorized Uy the Cily of F.eerett, in or uf nny sh•ect or <br /> udcy in :;uirh �heti• may 6ace bcen laid, �he ^ity will not bc required to furnish <br /> v�a[er during tlie progress of such improvement= to auy consumer wiiose suPP�l' <br /> n:uy thus be cut otf, ofrl b-c7 l^i��bl9 fm� any damng•�s Cor its tailure so to do. <br /> Application No....Q...l..! � ' 7? �'' <br /> - <br /> I31��1 ...�.�...� � _._._ L t '3 . <br /> . � . .... ...... Add.. .. .._.__._........._. ... <br /> .�, /�as , <br /> ._. .. __ . _.. ...__.Street <br /> __. .. .. ._. .. .... .. <br /> ....__.._. ._.._..�� ... ..._f .... _ _ .......... ...___.. <br /> ihe wod: to be executed by.._ _. . �l.__. r-. . YlumUcr <br /> Stale size of tnP. ,j � /Cl�-�-JJf ��� �.77 <br /> / <br /> ._�'�.Tnp to Uc inserted in the mnin. � <br /> . ....�.......Nnter closet <br /> ......1......Bnth . <br /> .__......`.....Urinal �.' ,i EY(PF'i:F',4' <br /> ...._..?-...Plain faucet insidr � �' <br /> .........C..Sidc walk tanshcr � . .� � ... . . <br /> _.. ._./.....Hose biU outside <br /> ..._.....�._I►ose bib for builditig purpn,c; <br /> __..�..Iiosc bib insidc <br /> ........�.Bib for staUle contair.ing............ .......stall_........_.. <br /> _ ........Number of persons in faniily <br /> __�Y..-KumLer of rooms in building <br /> � nremises are to be used us a ...�� .� <br /> ......._. ..._.. <br /> , ^ owner of tUe premi:es is� - ....... ,/(ili� <br /> ._...... ......... <br /> ....�r. � ;cnt is....._.._................._............................... <br /> .__.__....._..............._. ................... <br /> �`� ��pp;°aation, altl�ough siFned, shnll not be binding upon tlie City, until . <br /> .-�� ry ha Superintend nt ut the 1�ter epnr c t, <br /> � ,gned..�......����}................_ .:. ..._..........App cn\i <br /> / li It� <br /> Accepted..._�.�..�...:.-�L-�......1D2. .. B c._.c� � ^� l <br /> .. ._ _ti' ..-........_............... <br /> . __ -�perinlendent <br /> s �< <br /> � <br />