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���. u. c,,.�, �—�a:m—c.ec�.—r.:c-2+ <br />C�,ity of Everett�Water Departxnent <br />.�TION FOR WATER <br />i, Ulunks nmst bc filled in or cro=s�1 out <br />EvcrMt,........NG.�..L'......._.�..._............_............19„ /.. <br />TO TIIE SUPEI;.I:'fSNllEN'C OF TIIF. \l'ATER DEPARTnfENT: <br />CITY OF EV�PliTT: <br />I hereby nPP�Y fot the usc ot water in acrnrdance with the n�les and �:�::�, <br />I:,tinns of the �Vnter Departmenf, Cor purposes and fiscurrs stated below. <br />Durin�; the time thnt nny u[ the ��•ater mnins may be takcn vp by rr.�. '�. <br />u. ::ny imprucemenLs aulhurized by the Citp of Ecerett, in or nf nny str^�' �� <br />sllr}• in �chich theY may ltnce been Inid, the C:ty will not be required lo fm�::l�. i: <br />�c:der during lLe PTaFress ot such improvemente to nny consumer �vho�e suppl:: <br />❑�:iy thus bc cut oft, ar `bc' linble for unS damnges for its f¢ilure so to do. <br />Applicfllion '.Vo......._h. 7 � � �-- � � .� �% <br />I lo�k ........ . .. .. Lot.... ,�� (/_ �.. --_ff��..��. Add. .__. ___ ...... . . <br />\n.����.-�..�.— /� ��{'�.�! �U-.'��reet <br />...._..._ . _ ........... .. . ... . ...._. ........ ..... ..... <br />Thc �vork ta be executed by. ..._. r}'-`�?-`—` ..-. .PIumL�.�r <br />Stn eizc of tnp. <br />3�� TuP to bc i»scrted in <br />..... �_........�Pnter closet <br />_. �..__.....Bnth <br />---- <br />_ _.. _........Urinnl <br />_�.;......._Plain fu�cct iraide <br />_ <br />....._.....Side �rnik o•n�hcr <br />.��_........Ho_c bib outsid��: <br />0 <br />��/ I�L_� <br />thc main. �Q , � f; ( <br />/ � <br />�.:.:...�.-......Ilose bib for Luil.liut: p�.u�p-,�.�,; <br />�..-.::.::..._Hose bib insidc <br />-..-.r.--._IIib for staLlc contain�ng....._ _ . ___..,;�II �I. ......._ .. <br />� <br />..-_ - NumUcr af persons iu fnmily � <br />�... <br />.�........Number oY rnoms in Uuilding <br />� hu pi emises are to be used rs e . � ' � , <br />....._ .-.l <br />_ <br />7 hc owner of the Fremises l�'C- ..d:�:� � �-.4:: �. � � , �. . <br />Tl:i' asrnt is ................. __.,,r' .. <br />.__ .......................__.....__......_................__............./............ _ <br />Thl � npplicntion, nithough eignrd, ;Unll not he bimiing uron the City, until <br />o�.r�pted by the Supej {'ntendent of thc Warier lleperhncnt. <br />Signed�kl(/J/'.i'��,'- L�/i d%��il `� ��pPlicnnt <br />// ,� , �- <br />Aece�ricd_.�.r�.��.N..-__....19�. By.. L�/fL.' � .�, . .. ...... <br />--� � .. uiierintendent <br />