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�c(.. . . CN � `% , � <br />\l. U.I'.,-n a i:,ou—E.P.io.-5..".s.�t <br />City of Everett-�uT.�tpr I��p:1��tment <br />APPLIC�Z~IOTT FOR ��TER <br />All blanks mu=t 3�c fiiled in� or cro=_: rd eut <br />rvoretc�....__..........Jl� y' . . . _ . ....1li°_. .. <br />i <br />.....�.......... . .......__.. <br />]'O THl �U7'IRINT�:IDEt7T OF SIIR �:'ATER DCi':11:7"..[CAT: <br />CI'PY OF EVE22CTT: <br />I hereby nppty ior the u;r uS waler i�� accm•danee �eith the �vles and regu- <br />lations oi the Wnter Dr,partment, for pwposes �ird fiz�ures ;tated bcicw. <br />During thc time thnt anp of Um �v�rter mains may be tnken up by reuwu <br />of anp impro��emc!its nu:liorized by Um City of G��creLt, ir. or of nny slreut ur <br />allcy in whicli ihey ntay have bcen ln;d, Ll�c City aill not be rc�7vired to furnid� <br />:;r.tm� dnrirG the prugress of sui�h imnrnvemcnts to a�iy cnnsumer whuse suppl�' <br />mny ttms br ��ut �{f, orf iUc l:nble fur :.ny damuCes for its fnilure so to do. <br />Anplicn:iun Nu._..d..�i...^�..y........_... <br />Block.._.... _. .....__....... ...._ Lot�. �.L.._....._____ ._._.... �dd._ .... .._ _ .. _.._. ... <br />10........ .,3.���...,,�!'.��f//.. .._ __..._....._Street <br />% <br />.. . _. _...._... . ..__.._. . ... ...... ..__.. ._______-... <br />The ���ork to Ue executed l�p /J�R-A��... ._..... . Plumber <br />State size of tnp. ✓ <br />... ��:....Tnp to Uc inserted in the main. <br />.._.�......�Vntcr cluset <br />. _ _%d........L'ath <br />. ._-G1....._tirinal <br />_ .�i.......Pla:n faucet iu_idc , <br />._..x.......Sidc wnll: ���n,Lcr � � <br />+ i / <br />..._1.........Ilo�c bib uul;idc � "i� ]/'/' J va � <br />.__.,�_.....I:ose bib for buildin� pm�pnsvs '�- � o AQ�/ �� � <br />.��-_� p <br />. . . . I*.nsc iiib inside <br />..._�_.._Bib for staLl.^, contaiuuig.....__._.......slall...._........... <br />...............Number of ±:�rsom; in fanily <br />..._�...-NumUcr of rooms in !;uildin;; <br />7'hc preroises nrc to bc used ns a ` � L°�— . <br />'P!:c owner of the prenises is . r O/•. .�'ji//�t�� ._. <br />.•hc a�enk fs.... . .....�, . .. _IL{..Ga�... .... .._..._ ....._. <br />This npplic:riion, nlUiough signed, sliatl not bc Linding uPon tlic City, until <br />����;ed bv the SuncrinLexdcut af the �9Acr pcnnrtm�nt. _ <br />� <br />.._ ..._. _. 12� __. Ry.. <br />�) .�-i�%--�-�-� `-ui, <br />..;. Applicant � <br />/ <br />,�y�upermi n�ent <br />r— ' <br />E <br />