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.yc� i o � = = ' .. _ . ._t.a .! �I _'1 . ; , 1I <br />}c. n. r•a��o+—wno—e.ec�.—v-x� sa <br />City of Everett�W�ater Depurtment <br />APPLICATIUN FOR �ATER <br />�Il bl:mks must Le filled in or crossed out <br />�/- �J C <br />Evcrett,...._ .............. ...102 .J.. <br />.........l�� -.../ .......................... <br />TO 7'IIE SUi'I':RINTI:NDT''.NT OR TiIP•, :�'ATRR UPPAI:T:IiENT: <br />CITY Oh' E�31'.liTT: <br />I I�m�eby npply fur the use o[ water in accordance wilh tbc rules ;.nd regu- <br />lations of the R'ater Department, far purPnses z�nd fix,ures s:ateil 6riuc:. <br />Dm�ing Lhe time that any cC the a�acer mains mny be tak��n op by reason - <br />of any improvemen[s autho;ized by tLe City of E�'^rett, in or ��f any strcc6 or <br />ullcy in which they may h;ive been laid, the City will not be r��quired tn furniah <br />�cater during the progress of such im�irevements to any consomcr whosc 5uPp1y <br />m:.y thus Lc cut off, er(/Ue linble fm� ,my drn�nges tor it� fuiiure so to ��o. � <br />Applicntion IQu......0...%(�Q—'' b�j . . <br />.. ....... ............... <br />I lock... . � � ..:. � ... . Lut � ..�dd.,._._._. .. _. .... _ . <br />� <br />\o...._� � .J„� . �'".`� ...Street <br />._. ..._............_............_......._...._ ................_...._..._............__. __ .._ <br />._ .__..._. ....__ _._. <br />_.. '�'I-�c vtork :o Le execute�by...._.._.. .... _ . _� . _..._.._.� ,l�Lu�L�,�r <br />� /� / <br />�Sj�size of :np. 3 � �d � _ . .. � I � _ � � <br />� _.. 5 (a!i <br />S;�L_ ..Tup to 6e inscrted in the main �-. � � � <br />i �-' t � <br />'�!�. ...AVatcr close: ��-'�' ���� � � � � <br />�-......B2�i� �EP �• ' 1928�`� <br />..__-........Urinnl ..ii/ QF EV�����' 'l•.r,,, ... <br />__"2..._..Plain fnecet inside " -.... . .. <br />. <br />......-'.:.....Sid^ �ealk tea>}mr <br />....J.........iIose bib ouL.ide <br />.....__.......Iiose biU for Uuilding Pur�m::rs <br />.....-:.-....Hnse biU inside <br />..... ........IIiL for stnblr contnining.......__.........stall..........._..._. <br />......... .....A'umber of por=on� in fnn�il, <br />.�..La. .Numbcr of rooms m building � <br />The premises nre to be used us a .!? ..��4:,1<�� ___-.. <br />� � <br />'Phe owncr of the preriises �5 . �� / . . .. . ........ <br />�Phc ageut is.... .... .. . . . ...._ �:... ........ <br />��� nPP��cntion, allhocgh signed, almll not be bin�ing upon the City, until <br />:.:.i by tF.e ouperintenden! of the �Vntcr DepnrJment. <br />, y�/'_� / <br />SiE•ned..�� ............ ..... ...1y..G�L<_r,. ..... _ ..`......... .......Ap,plicnn� 1 <br />.... <br />- /� / � <br />L! -...�.� .`..�.....192�. BS.._ Cy .... ..::$i "%::...... <br />......................... <br />�� � / � �Superintendent <br />